UNASSIGNED: In this report, we present a case of optic nerve AVM in a patient who initially presented with progressive visual deterioration in the right eye. An orbital magnetic resonance imaging (MRI) scan revealed an abnormal signal intensity within the optic nerve region of the affected eye, and Computed Tomography Angiography (CTA) demonstrated the presence of a vascular malformation involving the optic nerve in the right eye. The diagnosis of optic nerve AVMs relies on Digital Subtraction Angiography (DSA). Given the challenging nature of surgical intervention, the patient opted for conservative management. Upon subsequent evaluation, no significant changes were observed in the patient\'s right visual acuity and visual field. Furthermore, a comprehensive literature review was conducted.
CONCLUSIONS: In summary, the principal clinical presentations associated with optic nerve AVMs include a deterioration in both visual acuity and visual field. Angiography serves as the preferred diagnostic modality to confirm optic nerve AVMs. Microsurgical intervention or interventional embolization techniques may offer effective management approaches to address this complex condition.
■在本报告中,我们介绍了1例患者的视神经AVM,该患者最初表现为右眼进行性视力恶化。眼眶磁共振成像(MRI)扫描显示受影响的眼睛的视神经区域内的异常信号强度,计算机断层扫描血管造影(CTA)显示右眼存在涉及视神经的血管畸形。视神经AVM的诊断依赖于数字减影血管造影(DSA)。鉴于外科手术的挑战性,患者选择保守治疗.在随后的评估中,患者的右视力和视野没有明显变化。此外,进行了全面的文献综述。
结论:总之,与视神经AVM相关的主要临床表现包括视力和视野下降。血管造影是确定视神经AVM的首选诊断方式。显微外科介入或介入栓塞技术可以提供有效的治疗方法来解决这种复杂的疾病。