SUCCESSFUL SURGICAL-TREATMENT OF INTRAORBITAL ARTERIOVENOUS-MALFORMATIONS - CASE-REPORT

Citation
Pd. Hieu et al., SUCCESSFUL SURGICAL-TREATMENT OF INTRAORBITAL ARTERIOVENOUS-MALFORMATIONS - CASE-REPORT, Neurosurgery, 40(3), 1997, pp. 626-631
Citations number
14
Categorie Soggetti
Surgery,"Clinical Neurology
Journal title
ISSN journal
0148396X
Volume
40
Issue
3
Year of publication
1997
Pages
626 - 631
Database
ISI
SICI code
0148-396X(1997)40:3<626:SSOIA>2.0.ZU;2-K
Abstract
OBJECTIVE AND IMPORTANCE: Cases of intraorbital arteriovenous malforma tions are rare, and their management presents a challenge for multidis ciplinary teams.CLINICAL PRESENTATION: A 39-year-old woman developed a pulsating exophthalmos, visual loss, and ocular pain within 1 month, revealing the presence of intraorbital arteriovenous malformations. Sh e underwent only surgical treatment. INTERVENTION: A fronto-orbital ap proach with removal of the orbital rim was performed. A CO, laser faci litated all the surgical steps. CONCLUSION: Full recovery of vision an d correction of the proptosis have been achieved, and postoperative ma gnetic resonance imaging and angiography confirmed the total removal o f the malformations. The literature is reviewed regarding the manageme nt of such lesions. Surgery remains the treatment of choice. The role of embolization is discussed.