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Optic nerve compression by an intraorbital megadolichoectatic ophtalmic artery.
- Source :
-
Orbit (Amsterdam, Netherlands) [Orbit] 2010 Feb; Vol. 29 (1), pp. 60-2. - Publication Year :
- 2010
-
Abstract
- A 47-year-old woman, physically active, presented with a history of progressive isolated right eye visual loss (20/200). Ophtalmological examination with Goldmann's perimetry showed a Marcus Gunn pupil, an optic disc temporal pallor and a central scotoma on the affected eye. CT scan and cerebral angiography demonstrated an abnormally wide and elongated (megadolichoectatic) intraorbital ophthalmic artery responsible for optic nerve compression in the optic canal. Pulse steroid therapy was chosen and allowed recuperation of right eye visual acuity to 20/20. A 3-months' follow-up was decided and to date, 1 year later, she fell back to 20/40 with a normal right eye visual field. The authors compare these clinical and radiological findings with intraorbital aneurysms and discuss the therapeutic options for this extremely rare form of vascular disease.
- Subjects :
- Aneurysm diagnostic imaging
Aneurysm etiology
Carotid Artery Diseases diagnostic imaging
Carotid Artery Diseases etiology
Carotid Artery, Internal diagnostic imaging
Carotid Artery, Internal pathology
Cerebral Angiography
Dilatation, Pathologic
Female
Glucocorticoids administration & dosage
Humans
Middle Aged
Nerve Compression Syndromes diagnosis
Nerve Compression Syndromes drug therapy
Optic Nerve Diseases diagnostic imaging
Optic Nerve Diseases drug therapy
Peripheral Vascular Diseases diagnostic imaging
Peripheral Vascular Diseases drug therapy
Pulse Therapy, Drug
Scotoma etiology
Tomography, X-Ray Computed
Visual Acuity
Visual Field Tests
Nerve Compression Syndromes etiology
Ophthalmic Artery pathology
Optic Nerve Diseases etiology
Peripheral Vascular Diseases complications
Subjects
Details
- Language :
- English
- ISSN :
- 1744-5108
- Volume :
- 29
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Orbit (Amsterdam, Netherlands)
- Publication Type :
- Academic Journal
- Accession number :
- 20302415
- Full Text :
- https://doi.org/10.3109/01676830903294677