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Spontaneous involution of retinal and intracranial arteriovenous malformation in Bonnet-Dechaume-Blanc syndrome
  1. M C Brodsky1,
  2. W F Hoyt2
  1. 1Department of Ophthalmology and Pediatrics, University of Arkansas for Medical Sciences, AR, USA
  2. 2Departments of Ophthalmology, Neurology, and Neurosurgery, University of California, San Francisco, CA, USA
  1. Correspondence to: Michael C Brodsky, MD, Arkansas Children's Hospital, 800 Marshall, Little Rock, AR 72202, USA

https://doi.org/10.1136/bjo.86.3.360

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    Intracranial arteriovenous malformations are capable of spontaneous regression.1–3 There are also numerous recorded events of vascular remodelling, thrombosis, and autoinvolution in retinal arteriovenous malformations.4–7 This report documents a self obliterated retinal arteriovenous malformation in a patient with Bonnet-Dechaume-Blanc syndrome who developed neurological symptoms due to spontaneous regression of the intracranial component of the angiomatous malformation.

    Case Report

    A 32 year old man from Guam was evaluated for a history of right parietal headaches for several months and acquired temporal hemianopia in the left eye. He had a history of blindness in the right eye from early childhood, and had recently become aware of a temporal hemianopia in the left eye.

    Visual acuity was no light perception in the right eye and 20/20 in the left …

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