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Pediatric Radiology

, Volume 35, Issue 5, pp 525–528 | Cite as

Morning glory disc anomaly, midline cranial defects and abnormal carotid circulation: an association worth looking for

  • Boon Long Quah
  • Jill Hamilton
  • Susan Blaser
  • Elise Héon
  • Nasrin N. Tehrani
Case Report

Abstract

We report on a 4-year-old boy who presented to the ophthalmology department for assessment of convergent strabismus. Ophthalmic examination showed a left morning glory optic disc anomaly and retinal detachment. Plain films obtained for investigation of short stature prior to ophthalmic examination revealed delayed bone age. Ophthalmological findings prompted CT and MRI imaging and angiographic investigations. Midline cranial defects and abnormal carotid circulation were identified. These findings may be associated with morning glory optic disc anomaly, and their association is often under-recognized. It is important that clinicians and radiologists be aware of this spectrum of disorders, as the vascular abnormalities may predispose the patient to transient ischemic attacks and strokes. Growth delay may result from hypopituitarism.

Keywords

Morning glory disc anomaly Moyamoya Abnormal carotid circulation Midline cranial defect Hypopituitarism 

References

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Boon Long Quah
    • 1
  • Jill Hamilton
    • 2
  • Susan Blaser
    • 3
  • Elise Héon
    • 4
  • Nasrin N. Tehrani
    • 4
  1. 1.Singapore National Eye Centre, Department of OphthalmologyKandang Kerbau Women’s and Children’s HospitalSingapore
  2. 2.Division of Endocrinology, Department of PaediatricsThe Hospital for Sick ChildrenTorontoCanada
  3. 3.Department of Diagnostic ImagingThe Hospital for Sick ChildrenTorontoCanada
  4. 4.Department of Ophthalmology and Vision SciencesThe Hospital for Sick ChildrenTorontoCanada

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