Progressive bilateral homonymous visual field defects caused by a left hemisphere arteriovenous malformation: Resolution after embolization

Pamela Y. Blake, Neil R Miller

Research output: Contribution to journalArticle

Abstract

Intracranial supratentorial arteriovenous malformations (AVMs) cause neurologic and visual deficits by a variety of mechanisms, mainly hemorrhage and seizures, but also compression, and, rarely, ischemia. In most cases, the deficits are on the side opposite the malformation. We present the case of a patient with a left hemisphere AVM who developed bilateral homonymous visual field defects. The patient subsequently underwent two embolizations of the AVM using N-butyl cyanoacrylate glue, resulting in almost complete resolution of the visual field defects. We conclude that some supratentorial AVMs produce visual and neurologic deficits by secondary effects on the contralateral hemisphere. In such cases, treatment of the AVM may result in resolution of the deficits.

Original languageEnglish (US)
Pages (from-to)17-23
Number of pages7
JournalNeuro-Ophthalmology
Volume21
Issue number1
StatePublished - 1999

Fingerprint

Arteriovenous Malformations
Visual Fields
Neurologic Manifestations
Enbucrilate
Intracranial Arteriovenous Malformations
Adhesives
Seizures
Ischemia
Hemorrhage
Therapeutics

Keywords

  • Arteriovenous malformation
  • Embolization
  • Homonymous visual field defects
  • Vascular steal phenomenon

ASJC Scopus subject areas

  • Clinical Neurology
  • Ophthalmology

Cite this

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AB - Intracranial supratentorial arteriovenous malformations (AVMs) cause neurologic and visual deficits by a variety of mechanisms, mainly hemorrhage and seizures, but also compression, and, rarely, ischemia. In most cases, the deficits are on the side opposite the malformation. We present the case of a patient with a left hemisphere AVM who developed bilateral homonymous visual field defects. The patient subsequently underwent two embolizations of the AVM using N-butyl cyanoacrylate glue, resulting in almost complete resolution of the visual field defects. We conclude that some supratentorial AVMs produce visual and neurologic deficits by secondary effects on the contralateral hemisphere. In such cases, treatment of the AVM may result in resolution of the deficits.

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