← Back to Previous Page

 

V047: GIANT HYPERVASCULAR FIBROUS DYSPLASIAAND VENOUS ANEURYSM OF THE CENTRAL SKULL BASE LEADING TO COMPRESSIVE OPTIC NEUROPATHY
Jacquelyn K Callander, MD; Collin Liu, MD; Vera Vigo, MD, PhD; Erik Burgos-Sosa, MD; Michael T Chang, MD; Juan C Fernandez-Miranda, MD; Stanford University

We present a 24-year-old male with extensive fibrous dysplasia and an associated arteriovenous fistula with venous aneurysm causing progressive optic neuropathy. Using an endonasal endoscopic approach with nasoseptal flap reconstruction, we achieved bilateral optic nerve decompression and aneurysm removal. Pre-operative embolization mitigated bleeding risk, though transfusion requirements remained substantial. Postoperatively, imaging confirmed excellent decompression and the patient reported subjective visual improvement. This case highlights technical challenges and multidisciplinary collaboration in managing complex skull base disease.

 

 

← Back to Previous Page