Neuro-Ophthalmic Vascular Disease

Update item information
Identifier 95_60
Title Neuro-Ophthalmic Vascular Disease
Subject Moyamoya Disease
Description This 23-year-old woman has had insulin-dependent diabetes mellitus since age 3. She was diagnosed with Sydenham's chorea in early childhood and had grand mal seizures from age 13 to 15. She has been hypertensive since age 18. Her vision was 20/25 OD and 20/40 OS, with dyschromatopsia OS, and a 1.8 log unit APD OS. The field OD was normal: the field OS showed a temporal scotoma originating out of the blind spot. The fundus OD was small and crowded, with a cup:disc ratio of 0.1 and a few dot hemorrhages. The left eye showed regressed neovascularization and a dragged macula. Her antiphospholipid antibodies were negative. The MRI showed multiple foci of increased signal on T2 and proton density images. This was felt to be moyamoya disease, with stenosis of the middle cerebrals and dilated vascular channels penetrating the microglia. The MR angiogram (MRA) showed occlusion of both internal carotids and the left posterior cerebral arteries. Pair with Images 95_59, 95_61, and 95_62.
Creator AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology Society
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Type Image
Format image/jpeg
Relation is Part of Case 123
Rights Management Copyright 2002. For further information regarding the rights to this collection, please visit:
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Contributor Primary Larry P. Frohman, MD, UMDNJ-New Jersey Medical School
Source AAO/NANOS Clinical neuro-ophthalmology : image collection for ophthalmic practitioners. American Academy of Ophthalmology [electronic resource], [San Francisco, Calif.] : AAO, c1999.
ARK ark:/87278/s6mp82wh
Setname ehsl_novel_aao_nanos
Date Created 2004-11-17
Date Modified 2004-11-17
ID 176869
Reference URL