牵牛花盘状异常与烟雾病及垂体柄重复相关。
Morning glory disc anomaly associated with moyamoya disease and pituitary stalk duplication.
作者信息
Khodeiry Mohamed M, Chau Viet Q, Yasin Anas, Starke Robert M, Miri Shahnaz, Pasol Joshua
机构信息
Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Neurological Surgery and Radiology, University of Miami Miller School of Medicine, Miami, FL, USA.
出版信息
Am J Ophthalmol Case Rep. 2022 Jun 24;27:101632. doi: 10.1016/j.ajoc.2022.101632. eCollection 2022 Sep.
PURPOSE
We report a case of a 10-year-old with Moring glory disc anomaly (MGDA) associated with Moyamoya disease and pituitary stalk duplication.
OBSERVATIONS
A 10-year-old Asian child presented with decreased vision in the right eye and bilateral nystagmus. Both dilated fundus exam and magnetic resonance imaging (MRI) of the orbit confirmed MGDA of the right eye. MRI of the brain demonstrated duplication of the pituitary stalk. Magnetic resonance angiography (MRA) of the brain revealed bilateral severe narrowing (greater on the right side) of the distal supraclinoid internal carotid arteries with bilateral reconstitution at the carotid terminus and prominent collaterals, suggestive of Moyamoya disease.
CONCLUSIONS
Patients with MGDA should undergo neuroimaging due to the associated central nervous system (CNS) anomalies.
目的
我们报告一例10岁儿童患有牵牛花盘状异常（MGDA），并伴有烟雾病和垂体柄重复。
观察结果
一名10岁亚洲儿童出现右眼视力下降和双侧眼球震颤。散瞳眼底检查和眼眶磁共振成像（MRI）均证实右眼存在MGDA。脑部MRI显示垂体柄重复。脑部磁共振血管造影（MRA）显示双侧床突上段颈内动脉远端严重狭窄（右侧更严重），双侧颈动脉末端重建及侧支循环明显，提示烟雾病。
结论
由于MGDA可能伴有中枢神经系统（CNS）异常，因此患有MGDA的患者应接受神经影像学检查。
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