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Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision
Periorbital arteriovenous malformations (AVMs) are congenital lesions that may cause significant morbidity such as amblyopia, cosmetic disfigurement, or chronic pain. Due to the rarity of these lesions, they are frequently misdiagnosed and treated inappropriately. We managed a 6-year-old girl with p...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5778556/ https://www.ncbi.nlm.nih.gov/pubmed/29283148 http://dx.doi.org/10.4103/ijo.IJO_663_17 |
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author | Mukherjee, Bipasha Vijay, Vathsalya Halbe, Swatee |
author_facet | Mukherjee, Bipasha Vijay, Vathsalya Halbe, Swatee |
author_sort | Mukherjee, Bipasha |
collection | PubMed |
description | Periorbital arteriovenous malformations (AVMs) are congenital lesions that may cause significant morbidity such as amblyopia, cosmetic disfigurement, or chronic pain. Due to the rarity of these lesions, they are frequently misdiagnosed and treated inappropriately. We managed a 6-year-old girl with preseptal AVM by endovascular embolization followed by complete surgical excision after 2 days. She was previously diagnosed as capillary hemangioma and was being treated with intralesional steroid injections and oral propranolol. Neuroimaging revealed an AVM fed by the branches of both external and internal carotid arteries and drained by the superior ophthalmic vein. Endovascular embolization with glue followed by complete surgical excision of the lesion was done. The resultant cosmetic and functional outcome was gratifying. Diagnosis and management of periorbital AVM remain a challenge requiring a multidisciplinary approach involving interventional radiologist and trained oculoplastic surgeons. Combined endovascular embolization followed by surgical excision proved safe and effective. |
format | Online Article Text |
id | pubmed-5778556 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-57785562018-02-02 Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision Mukherjee, Bipasha Vijay, Vathsalya Halbe, Swatee Indian J Ophthalmol Case Reports Periorbital arteriovenous malformations (AVMs) are congenital lesions that may cause significant morbidity such as amblyopia, cosmetic disfigurement, or chronic pain. Due to the rarity of these lesions, they are frequently misdiagnosed and treated inappropriately. We managed a 6-year-old girl with preseptal AVM by endovascular embolization followed by complete surgical excision after 2 days. She was previously diagnosed as capillary hemangioma and was being treated with intralesional steroid injections and oral propranolol. Neuroimaging revealed an AVM fed by the branches of both external and internal carotid arteries and drained by the superior ophthalmic vein. Endovascular embolization with glue followed by complete surgical excision of the lesion was done. The resultant cosmetic and functional outcome was gratifying. Diagnosis and management of periorbital AVM remain a challenge requiring a multidisciplinary approach involving interventional radiologist and trained oculoplastic surgeons. Combined endovascular embolization followed by surgical excision proved safe and effective. Medknow Publications & Media Pvt Ltd 2018-01 /pmc/articles/PMC5778556/ /pubmed/29283148 http://dx.doi.org/10.4103/ijo.IJO_663_17 Text en Copyright: © 2017 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Reports Mukherjee, Bipasha Vijay, Vathsalya Halbe, Swatee Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
title | Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
title_full | Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
title_fullStr | Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
title_full_unstemmed | Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
title_short | Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
title_sort | combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5778556/ https://www.ncbi.nlm.nih.gov/pubmed/29283148 http://dx.doi.org/10.4103/ijo.IJO_663_17 |
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