Skip to main content
Advertisement
  • Neurology.org
  • Journals
    • Neurology
    • Clinical Practice
    • Genetics
    • Neuroimmunology & Neuroinflammation
  • Specialty Sites
    • COVID-19
    • Practice Current
    • Practice Buzz
    • Without Borders
    • Equity, Diversity and Inclusion
    • Innovations in Care Delivery
  • Collections
    • Topics A-Z
    • Residents & Fellows
    • Infographics
    • Patient Pages
    • Null Hypothesis
    • Translations
  • Podcast
  • CME
  • About
    • About the Journals
    • Contact Us
    • Editorial Board
  • Authors
    • Submit a Manuscript
    • Author Center

Advanced Search

Main menu

  • Neurology.org
  • Journals
    • Neurology
    • Clinical Practice
    • Genetics
    • Neuroimmunology & Neuroinflammation
  • Specialty Sites
    • COVID-19
    • Practice Current
    • Practice Buzz
    • Without Borders
    • Equity, Diversity and Inclusion
    • Innovations in Care Delivery
  • Collections
    • Topics A-Z
    • Residents & Fellows
    • Infographics
    • Patient Pages
    • Null Hypothesis
    • Translations
  • Podcast
  • CME
  • About
    • About the Journals
    • Contact Us
    • Editorial Board
  • Authors
    • Submit a Manuscript
    • Author Center
  • Home
  • Latest Articles
  • Current Issue
  • Past Issues
  • Residents & Fellows

User menu

  • Subscribe
  • My Alerts
  • Log in

Search

  • Advanced search
Neurology
Home
The most widely read and highly cited peer-reviewed neurology journal
  • Subscribe
  • My Alerts
  • Log in
Site Logo
  • Home
  • Latest Articles
  • Current Issue
  • Past Issues
  • Residents & Fellows

Share

October 27, 2020; 95 (17) Resident & Fellow Section

Teaching NeuroImages: An oculocerebral metameric syndrome

Biswamohan Mishra, View ORCID ProfileVenugopalan Y. Vishnu, Anu Gupta, Ajay Garg, Rohit Saxena, Roopa Rajan, Rohit Bhatia, Mamta Bhushan Singh, M.V. Padma Srivastava
First published July 20, 2020, DOI: https://doi.org/10.1212/WNL.0000000000010425
Biswamohan Mishra
From the Departments of Neurology (B.M., V.Y.V., A. Gupta, R.R., R.B., M.B.S., M.V.P.S.), Neuroradiology (A. Garg), and Ophthalmology (R.S.), All India Institute of Medical Sciences, New Delhi, India.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Venugopalan Y. Vishnu
From the Departments of Neurology (B.M., V.Y.V., A. Gupta, R.R., R.B., M.B.S., M.V.P.S.), Neuroradiology (A. Garg), and Ophthalmology (R.S.), All India Institute of Medical Sciences, New Delhi, India.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Venugopalan Y. Vishnu
Anu Gupta
From the Departments of Neurology (B.M., V.Y.V., A. Gupta, R.R., R.B., M.B.S., M.V.P.S.), Neuroradiology (A. Garg), and Ophthalmology (R.S.), All India Institute of Medical Sciences, New Delhi, India.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ajay Garg
From the Departments of Neurology (B.M., V.Y.V., A. Gupta, R.R., R.B., M.B.S., M.V.P.S.), Neuroradiology (A. Garg), and Ophthalmology (R.S.), All India Institute of Medical Sciences, New Delhi, India.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rohit Saxena
From the Departments of Neurology (B.M., V.Y.V., A. Gupta, R.R., R.B., M.B.S., M.V.P.S.), Neuroradiology (A. Garg), and Ophthalmology (R.S.), All India Institute of Medical Sciences, New Delhi, India.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Roopa Rajan
From the Departments of Neurology (B.M., V.Y.V., A. Gupta, R.R., R.B., M.B.S., M.V.P.S.), Neuroradiology (A. Garg), and Ophthalmology (R.S.), All India Institute of Medical Sciences, New Delhi, India.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rohit Bhatia
From the Departments of Neurology (B.M., V.Y.V., A. Gupta, R.R., R.B., M.B.S., M.V.P.S.), Neuroradiology (A. Garg), and Ophthalmology (R.S.), All India Institute of Medical Sciences, New Delhi, India.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mamta Bhushan Singh
From the Departments of Neurology (B.M., V.Y.V., A. Gupta, R.R., R.B., M.B.S., M.V.P.S.), Neuroradiology (A. Garg), and Ophthalmology (R.S.), All India Institute of Medical Sciences, New Delhi, India.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
M.V. Padma Srivastava
From the Departments of Neurology (B.M., V.Y.V., A. Gupta, R.R., R.B., M.B.S., M.V.P.S.), Neuroradiology (A. Garg), and Ophthalmology (R.S.), All India Institute of Medical Sciences, New Delhi, India.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Full PDF
Citation
Teaching NeuroImages: An oculocerebral metameric syndrome
Biswamohan Mishra, Venugopalan Y. Vishnu, Anu Gupta, Ajay Garg, Rohit Saxena, Roopa Rajan, Rohit Bhatia, Mamta Bhushan Singh, M.V. Padma Srivastava
Neurology Oct 2020, 95 (17) e2458-e2459; DOI: 10.1212/WNL.0000000000010425

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Permissions

Make Comment

See Comments

Downloads
445

Share

  • Article
  • Figures & Data
  • Info & Disclosures
Loading

A 55-year-old man with no comorbidities presented with sudden-onset holocranial headache, vomiting, and transient loss of consciousness. Examination was normal except for retinal arterio-venous malformations in the right eye (figure, A). MRI brain showed subacute hematoma in the right parieto-temporo-occipital region and frontal horn of the right lateral ventricle. Digital subtraction angiography showed arterio-venous malformations along the right ophthalmic artery and right posterior temporal region, suggestive of cerebrofacial arteriovenous metameric syndrome (CAMS) type 2 (figure, B–D). He was managed conservatively and is asymptomatic at 2 months follow-up. Fundus examination can be a diagnostic clincher for CAMS in adults with intracranial haemorrhages.1,2

Figure
  • Download figure
  • Open in new tab
  • Download powerpoint
Figure Right fundus, MRI brain, and digital subtraction angiography imaging of the cerebral vessels

(A) Right fundus photograph depicting retinal arteriovenous malformations (AVMs) in the right eye. (B) Axial T1 MRI depicting hematoma in the right temporo-parietal lobe and frontal horn of right lateral ventricle and subacute subdural hematoma along tentorium cerebelli on the right side and along the convexity of the right cerebral hemisphere. (C) Right ophthalmic artery feeder AVMs. (D) Right posterior temporal artery feeder AVMs.

Study funding

No targeted funding reported.

Disclosure

The authors report no disclosures relevant to the manuscript. Go to Neurology.org/N for full disclosures.

Appendix Authors

Table1

Footnotes

  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Teaching slides links.lww.com/WNL/B179

  • © 2020 American Academy of Neurology

References

  1. 1.↵
    1. O'Loughlin L,
    2. Groves ML,
    3. Miller NR,
    4. Pearl MS
    . Cerebrofacial arteriovenous metameric syndrome (CAMS): a spectrum disorder of craniofacial vascular malformations. Childs Nerv Syst 2017;33:513–516.
    OpenUrl
  2. 2.↵
    1. Bhattacharya JJ,
    2. Luo CB,
    3. Suh DC,
    4. Alvarez H,
    5. Rodesch G,
    6. Lasjaunias P
    . Wyburn-Mason or Bonnet-Dechaume-Blanc as cerebrofacial arteriovenous metameric syndromes (CAMS): a new concept and a new classification. Interv Neuroradiol 2001;7:5–17.
    OpenUrlCrossRefPubMed
View Abstract

Disputes & Debates: Rapid online correspondence

No comments have been published for this article.
Comment

NOTE: All authors' disclosures must be entered and current in our database before comments can be posted. Enter and update disclosures at http://submit.neurology.org. Exception: replies to comments concerning an article you originally authored do not require updated disclosures.

  • Stay timely. Submit only on articles published within the last 8 weeks.
  • Do not be redundant. Read any comments already posted on the article prior to submission.
  • 200 words maximum.
  • 5 references maximum. Reference 1 must be the article on which you are commenting.
  • 5 authors maximum. Exception: replies can include all original authors of the article.
  • Submitted comments are subject to editing and editor review prior to posting.

More guidelines and information on Disputes & Debates

Compose Comment

More information about text formats

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
NOTE: The first author must also be the corresponding author of the comment.
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Publishing Agreement
NOTE: All authors, besides the first/corresponding author, must complete a separate Disputes & Debates Submission Form and provide via email to the editorial office before comments can be posted.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

You May Also be Interested in

Back to top
  • Article
    • Study funding
    • Disclosure
    • Appendix Authors
    • Footnotes
    • References
  • Figures & Data
  • Info & Disclosures
Advertisement

Related Articles

  • Resident & Fellow Rounds

Topics Discussed

  • All Neuro-ophthalmology
  • Arteriovenous malformation
  • MRI
  • Clinical neurology examination
  • Intracerebral hemorrhage

Alert Me

  • Alert me when eletters are published
Neurology: 96 (2)

Articles

  • Ahead of Print
  • Current Issue
  • Past Issues
  • Popular Articles
  • Translations

About

  • About the Journals
  • Ethics Policies
  • Editors & Editorial Board
  • Contact Us
  • Advertise

Submit

  • Author Center
  • Submit a Manuscript
  • Information for Reviewers
  • AAN Guidelines
  • Permissions

Subscribers

  • Subscribe
  • Activate a Subscription
  • Sign up for eAlerts
  • RSS Feed
Site Logo
  • Visit neurology Template on Facebook
  • Follow neurology Template on Twitter
  • Visit Neurology on YouTube
  • Neurology
  • Neurology: Clinical Practice
  • Neurology: Genetics
  • Neurology: Neuroimmunology & Neuroinflammation
  • AAN.com
  • AANnews
  • Continuum
  • Brain & Life
  • Neurology Today

Wolters Kluwer Logo

Neurology | Print ISSN:0028-3878
Online ISSN:1526-632X

© 2021 American Academy of Neurology

  • Privacy Policy
  • Feedback
  • Advertise