Verm A, Lee A G
Baylor College of Medicine, Houston, TX 77030, USA.
Am J Ophthalmol. 1997 Mar;123(3):422-4. doi: 10.1016/s0002-9394(14)70151-5.
To report that an unruptured arteriovenous malformation without hydrocephalus may manifest with bilateral optic disk edema and macular exudates.
We examined an 11-year-old girl with an unruptured frontal lobe arteriovenous malformation who had decreased visual acuity, bilateral optic disk edema, and bilateral macular exudates.
The arteriovenous malformation was treated with partial embolization. A ventriculoperitoneal shunt was placed, but the patient's visual function did not improve.
Although optic disk edema with macular exudates may be caused by neuroretinitis, ophthalmologists should consider increased intracranial pressure as a cause of these ophthalmoscopic findings, especially when atypical features are present, such as bilaterality, lack of vitreous cells, lack of infectious risk factors, absent spontaneous venous pulsations, or no significant visual recovery.
报告一例无脑积水的未破裂动静脉畸形可表现为双侧视盘水肿和黄斑渗出。
我们检查了一名11岁患有未破裂额叶动静脉畸形的女孩，她有视力下降、双侧视盘水肿和双侧黄斑渗出。
该动静脉畸形采用部分栓塞治疗。放置了脑室腹腔分流管，但患者的视觉功能未改善。
虽然视盘水肿伴黄斑渗出可能由视神经视网膜炎引起，但眼科医生应将颅内压升高视为这些眼底镜检查结果的一个原因，特别是当存在非典型特征时，如双侧性、无玻璃体细胞、无感染危险因素、无自发性静脉搏动或无明显视力恢复。
