| Vein of Galen aneurysmal malformation masquerading as carotid cavernous fistula in a child with proptosis. | |
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MedLine Citation:
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PMID: 19787619 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: An infant with proptosis and dilated episcleral vessels was diagnosed with vein of Galen malformation, which is a rare condition presenting initially to an ophthalmologist. METHODS: An 8-month-old child presented with slowly progressive proptosis of the left eye of 5 months' duration. The proptosis was axial, nonpulsatile, with no associated bruit. Dilated corkscrew episcleral vessels were observed. The patient was referred to our center with diagnosis of carotid cavernous fistula. The child had a history of episodes of seizures. RESULTS: Contrast-enhanced computed tomographic scan of the patient showed dilated vessels, hydrocephalus, and dilated vein of Galen. Vein of Galen aneurysmal malformation was confirmed on magnetic resonance venography. CONCLUSIONS: Occasionally patients with Vein of Galen aneurysmal malformation may first present to the ophthalmologist. Ophthalmologists should therefore be aware of this rare but potentially treatable condition. |
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Authors:
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Sarah Zafar; Saemah N Zafar; Ayesha Khan; Saerah Iffat Zafar |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: European journal of ophthalmology Volume: 19 ISSN: 1120-6721 ISO Abbreviation: Eur J Ophthalmol Publication Date: 2009 Sep-Oct |
Date Detail:
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Created Date: 2009-09-29 Completed Date: 2009-11-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9110772 Medline TA: Eur J Ophthalmol Country: Italy |
Other Details:
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Languages: eng Pagination: 894-6 Citation Subset: IM |
Affiliation:
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Pediatric Ophthalmology Department, Al-Shifa Trust Eye Hospital, Rawalpindi - Pakistan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Carotid-Cavernous Sinus Fistula
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diagnosis* Diagnosis, Differential Exophthalmos / diagnosis* Humans Infant Intracranial Aneurysm / diagnosis* Magnetic Resonance Imaging Male Phlebography Tomography, X-Ray Computed Vein of Galen Malformations / diagnosis* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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