Intraorbital arteriovenous malformation treated by transcatheter embolization; a case report

ABSTRACT

To report the clinical and radiological findings and management of a patient with intraorbital arteriovenous malformation [AVM] treated by transcatheter embolization of the feeding artery. A 15-year-old female patient was referred with a one year history of left eye proptosis without prior trauma. Orbital CT scan and MRI demonstrated a large intraconal mass lesion extending to the extraconal space in the inferior orbit; angiograms revealed an intraorbital AVM. Superselective catheterization of the feeding artery and embolization with absorbable gelatin particles [Gelfoam] and non-absorbable polyvinyl alcohol particles were performed in two separate sessions followed by surgical debulking. Signs and symptoms were diminished after 14 months. lntraorbital AVMs can be treated by embolization of the feeding artery followed by surgical removal of the AVM nidus when the lesion is accessible