Cerebral arteriovenous malformation presenting as visual deterioration in a child.
A rare case of visual loss as the presenting feature of a central arteriovenous malformation involving the vein of Galen is reported. A 5-year-old girl with a history of deteriorating vision for the past 6 months was examined. Ocular examination showed a left hemianopia, left optic atrophy, and dilated vessels of the right optic disc. MRI revealed a massive deep-seated central arteriovenous malformation involving the vein of Galen. The mechanism of visual loss is likely to be a combination of ischaemic optic atrophy associated with a steal phenomenon and direct compression of the right optic radiation.
Kaye
L C
LC
Royal Liverpool Children's Hospital, Alder Hey, UK.
Kaye
S B
SB
Lagnado
R
R
Boothroyd
A
A
Morton
C
C
May
P
P
D002675:Child, Preschool; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D009896:Optic Atrophy / Q000209:etiology; D014786:Vision Disorders / Q000209:etiology*; D014795:Visual Pathways / Q000473:pathology