| ID | 68363 |
| JaLCDOI | |
| FullText URL | |
| Author |
Minakawa, Shun
Department of Ophthalmology, Japanese Red Cross Society Himeji Hospital
Hirano, Masayuki
Department of Ophthalmology, Japanese Red Cross Society Himeji Hospital
Takahashi, Kazuya
Department of Neurosurgery, Japanese Red Cross Society Himeji Hospital
Imamura, Yuta
Department of Ophthalmology, Japanese Red Cross Society Himeji Hospital
Watanabe, Takashi
Department of Ophthalmology, Japanese Red Cross Society Himeji Hospital
|
| Abstract | Intraorbital arteriovenous fistulas (IOAVFs) are rare vascular abnormalities. We describe a case of an IOAVF featuring a direct shunt between the accessory meningeal artery and the superior ophthalmic artery. A 55-year-old woman presented with a 1-month history of visual impairment in her right eye, and magnetic resonance imaging (MRI) revealed optic neuritis-like findings. Steroid pulse therapy temporarily resolved visual impairment. However, 1 month later, she experienced decreased visual acuity, ocular conjunctival hyperemia, edema, and a pulsatile murmur. Contrast-enhanced MRI and digital subtraction angiography revealed compression optic neuropathy due to an IOAVF. Following successful treatment with transarterial embolization, her symptoms disappeared.
|
| Keywords | intraorbital arteriovenous fistula
compressive optic neuropathy
accessory meningeal artery
superior ophthalmic vein
|
| Amo Type | Case Report
|
| Publication Title |
Acta Medica Okayama
|
| Published Date | 2025-02
|
| Volume | volume79
|
| Issue | issue1
|
| Publisher | Okayama University Medical School
|
| Start Page | 59
|
| End Page | 64
|
| ISSN | 0386-300X
|
| NCID | AA00508441
|
| Content Type |
Journal Article
|
| language |
English
|
| Copyright Holders | Copyright Ⓒ 2025 by Okayama University Medical School
|
| File Version | publisher
|
| Refereed |
True
|
| PubMed ID | |
| Web of Science KeyUT |
