Anterior ischemic optic neuropathy in moyamoya disease: a first case report.
Neuro-ophthalmological manifestations in moyamoya disease are usually the result of cerebrovascular involvement of the visual pathways. We report a case of ischemic optic neuropathy due to ocular hypoperfusion as a result of moyamoya disease, despite a prior internal to external carotid artery bypass with normal hemisphere perfusion. The blood supply of the optic nerve, a proposed pathogenesis of an anterior ischemic optic neuropathy and complications of the ocular ischemic syndrome are discussed.
Chen
C S
CS
Department of Neuro Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lee
A W
AW
Kelman
S
S
Wityk
R
R
D020757:Amaurosis Fugax / Q000209:etiology; D000925:Anticoagulants / Q000627:therapeutic use; D001766:Blindness / Q000209:etiology*; D016893:Carotid Stenosis / Q000209:etiology*; D002533:Cerebral Angiography; D002548:Cerebral Revascularization; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009072:Moyamoya Disease / Q000150:complications*; D009896:Optic Atrophy / Q000209:etiology; D018917:Optic Neuropathy, Ischemic / Q000188:drug therapy / Q000209:etiology*
D000925:Anticoagulants