| Title | The value of visual evoked potentials in the evaluation of periorbital hemangiomas. |
| Author(s) | Ioannidis AS, Liasis A, Syed S, Harper J, Nischal KK |
| Institution | Department of Ophthalmology, Great Ormond Street Hospital, London. |
| Source | Am J Ophthalmol 2005 Aug; 140(2):314-6. |
| MeSH | Amblyopia
Astigmatism
Evoked Potentials, Visual
Eyelid Neoplasms
Facial Neoplasms
Female
Glucocorticoids
Head and Neck Neoplasms
Hemangioma, Capillary
Humans
Infant
Magnetic Resonance Imaging
Neoplasm Invasiveness
Prednisolone
|
| Abstract | PURPOSE: To present a case of a child with an extensive facial hemangioma in whom the suspicion of intracranial involvement was raised by visual evoked potential (VEP) evaluation.
DESIGN: Observational case report.
METHODS: VEP analysis was performed using flash and pattern stimuli to determine whether treatment intervention other than occlusion therapy was needed.
RESULTS: VEP analysis indicated a marked transoccipital asymmetry in the flash and pattern VEP suggestive of right hemispheric dysfunction. Neuroimaging showed intracranial extension of the hemangioma.
CONCLUSION: The VEP evaluation is a noninvasive technique performed in the awake child. This case highlights the usefulness of VEP analysis in the management of extensive periocular capillary hemangiomas and its use as a modality to identify potential intracranial involvement. Large plaquelike facial capillary hemangiomas may have possible underlying dural involvement suggestive of PHACES syndrome. |
| Language | eng |
| Pub Type(s) | Case Reports
Journal Article
|
| PubMed ID | 16086956 |
