[Congenital anomalies of the optic disc associated with moyamoya disease: case report].
Congenital anomalies of the optic disc can be associated with intracranial vascular abnormalities. We report a 9-year old boy with morning glory disc anomaly in one eye and optic disc and infrapapilar choroidal coloboma in the other. His past medical history was remarkable for a transient ischemic attack. A magnetic resonance angiogram of the brain was consistent with moyamoya disease. This case illustrates the important association between optic disc abnormalities and moyamoya disease. Funduscopic examination of suspicious cases can be helpful in establishing the clinical diagnosis. Early identification of the intracranial vascular anomalies may be of help in preventing severe neurological complications.
Ghanem
Ramon Coral
RC
Divisão de Oftalmologia do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo SP, Brasil. ramonghanem@hotmail.com
Nicoletti
André Gustavo Bombana
AG
Cunha
Leonardo Provetti
LP
Monteiro
Mario Luiz Ribeiro
ML
D002648:Child; D002829:Choroid / Q000002:abnormalities*; D003103:Coloboma / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D009072:Moyamoya Disease / Q000150:complications / Q000175:diagnosis*; D009887:Ophthalmoscopy; D009898:Optic Disk / Q000002:abnormalities*; D014792:Visual Acuity