Orbital lymphatic-venous malformation with concomitant spontaneous orbital arteriovenous fistula: case report

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Journal of Neurosurgery: Pediatrics, Ahead of Print.
The authors describe the case of an 11-year-old boy with no history of prior trauma, who experienced acute proptosis and visual loss while showering. Diagnostic carotid artery angiography revealed an orbital lymphatic-venous malformation (LVM) concomitant with an intraorbital arteriovenous fistula. The patient was treated with transvenous coil and N-butyl cyanoacrylate glue embolization, combined with direct percutaneous glue injection into the LVM followed by excision. There was good clinical and radiological response without recurrence at the 2-year follow-up. Diagnostic carotid angiography should be considered in cases of orbital LVM, as a concomitant arteriovenous fistula might be present in rare cases.

http://thejns.org/doi/abs/10.3171/2017.8.PEDS17379?mi=67t04w&af=R

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