Zafar Sarah, Zafar Saemah N, Khan Ayesha, Zafar Saerah Iffat
Pediatric Ophthalmology Department, Al-Shifa Trust Eye Hospital, Rawalpindi - Pakistan.
Eur J Ophthalmol. 2009 Sep-Oct;19(5):894-6. doi: 10.1177/112067210901900536.
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.
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.
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.
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.
一名患有眼球突出和巩膜表层血管扩张的婴儿被诊断为大脑大静脉畸形，这是一种最初由眼科医生诊断的罕见病症。
一名8个月大的儿童出现左眼缓慢进行性眼球突出，持续5个月。眼球突出为轴性，无搏动，无相关杂音。观察到巩膜表层血管呈螺旋状扩张。该患者因诊断为颈动脉海绵窦瘘被转诊至我们中心。患儿有癫痫发作史。
患者的增强计算机断层扫描显示血管扩张、脑积水和大脑大静脉扩张。磁共振静脉造影证实为大脑大静脉动脉瘤样畸形。
大脑大静脉动脉瘤样畸形患者偶尔可能首先就诊于眼科医生。因此，眼科医生应了解这种罕见但可能可治疗的病症。
