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

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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.

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Authors and Affiliations

  1. Singapore National Eye Centre, Department of Ophthalmology, Kandang Kerbau Women’s and Children’s Hospital, Singapore

    Boon Long Quah

  2. Division of Endocrinology, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada

    Jill Hamilton

  3. Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada

    Susan Blaser

  4. Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, 555 University Ave., Toronto, ON, M5G 1X8, Canada

    Elise Héon & Nasrin N. Tehrani

Authors
  1. Boon Long Quah
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  2. Jill Hamilton
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  3. Susan Blaser
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  4. Elise Héon
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  5. Nasrin N. Tehrani
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Corresponding author

Correspondence to Nasrin N. Tehrani.

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Quah, B.L., Hamilton, J., Blaser, S. et al. Morning glory disc anomaly, midline cranial defects and abnormal carotid circulation: an association worth looking for. Pediatr Radiol 35, 525–528 (2005). https://doi.org/10.1007/s00247-004-1345-y

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  • DOI: https://doi.org/10.1007/s00247-004-1345-y

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