Subscribe to RSS
DOI: 10.1055/s-2004-821358
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA
Intraorbital Arteriovenous Malformation: Case Report
Publication History
Publication Date:
04 June 2004 (online)
![](https://www.thieme-connect.de/media/sbs/200401/lookinside/thumbnails/10.1055-s-2004-821358-1.jpg)
An intraorbital arteriovenous malformation became symptomatic without exophthalmos but with chemosis and bruit of the left eye. The patient underwent only surgical treatment. The orbital rim was removed through a fronto-orbital approach. The chemosis was corrected and postoperative magnetic resonance imaging and angiography confirmed complete removal of the malformation. Histopathological examination disclosed an arteriovenous malformation in the extrabulbar fatty tissue without invasion of the extraocular muscles or optic nerve. The differences between various types of intraorbital malformations are discussed.
KEYWORDS
Arteriovenous malformation - intraorbital - surgery
REFERENCES
- 1 McCormick W F. Pathology of vascular malformations of the brain. In: Wilson CB, Stein BM Intracranial Arteriovenous Malformations. Baltimore; Williams & Wilkins 1984: 44-63
- 2 Peeters F L. Vascular malformations as the cause of unilateral exophthalmus: diagnostic and therapeutic considerations. Diagn Imaging. 1982; 51 1-7
- 3 Krayenbuhl H. The value of orbital angiography for diagnosis of unilateral exophthalmos. J Neurosurg. 1962; 19 289-301
- 4 Halbach V V, Higashida R T, Hieshima G B et al.. Dural fistulas involving the cavernous sinus: results of treatment in 30 patients. Radiology. 1987; 163 437-442
- 5 Wolter J R. Arteriovenous fistulas of the eyelid: secondary to a chalazion. J Pediatr Ophthalmol. 1977; 14 225-227
- 6 Chakrabortty S, Nagashima T, Izawa I et al.. Intraorbital arteriovenous malformation: case report. Surg Neurol. 1993; 40(4) 320-325
- 7 Coll G E, Goldberg R A, Krauss H, Bateman B J. Concomitant lymphangioma and AVM of the orbit. Am J Ophthalmol. 1991; 112 200-205
- 8 Hieu P D, Besson G, Roncin S, Nonent M. Successful surgical treatment of intraorbital arteriovenous malformations: case report. Neurosurgery. 1997; 40 626-631
- 9 Howard G M, Jakobiec F A, Michelsen W J. Orbital arteriovenous malformation with secondary capillary angiomatosis treated by embolization with silastic liquid. Ophthalmol. 1983; 90 1136-1139
- 10 Jacas R, Ley A, Campillo D. Congenital intraorbital arteriovenous aneurysm. J Neurol Neurosurg Psychiatry. 1959; 22 330-332
- 11 Levy J V, Zemek L. Ophthalmic arteriovenous malformation. Am J Ophthalmol. 1966; 62 971-974
- 12 Moster M R, Kennerdell J S. B-scan ultrasonic evaluation of a dilated superior ophthalmic vein in orbital and retro-orbital arteriovenous anomalies. J Clin Neuroophthalmol. 1983; 3 105-108
- 13 Murali R, Berenstein A, Hirschfeld A. Intraorbital arteriovenous malformation with spontaneous thrombosis. Ann Ophthalmol. 1981; 13 457-459
- 14 Rootman J, Kao S CS, Graeb D A. Multidisciplinary approaches to complicated vascular lesions of the orbit. Ophthalmology. 1992; 99 1440-1446
- 15 Viñuela F, Fox A J, Pelz D M, Drake C G. Unusual clinical manifestations of dural arteriovenous malformations. J Neurosurg. 1986; 64 554-558
- 16 Kim A W, Kosmorsky G S. Arteriovenous communication in the orbit. J Neuroophthalmol. 2000; 20 17-19
- 17 Lawton M T, Chun J, Wilson C B, Halbach V V. Ethmoidal dural arteriovenous fistulae: an assesment of surgical and endovascular management. Neurosurgery. 1999; 45 805-811
- 18 Huna-Baron R, Setton A, Kupersmith M J, Berenstein A. Orbital arteriovenous malformation mimicking cavernous sinus dural arteriovenous malformation. Br J Ophthalmol. 2000; 84 771-774
- 19 Muthukumar N, Rajagopal V, Manoharan A V, Durairaj N. Surgical management of cirsoid aneurysms. Acta Neurochir (Wien). 2002; 144 349-356
- 20 Fisher-Jeffes N D, Domingo Z, Madden M, deVilliers J C. Arteriovenous malformations of the scalp. Neurosurgery. 1995; 36 656-660
- 21 Alvarez H, Rodesch G, García-Monaco R, Lasjaunias P. Embolisation of the ophthalmic artery branches distal to its visual supply. Surg Radiol Anat. 1990; 12 293-297
J. L Gil-SalúM.D.
Apdo. Correos 167
San Fernando 11.100
Cadiz, Spain
Email: Gilsalu@Comcadiz.com