ISSN: 2148-4902 | E-ISSN: 2536-4553
The lump of the medial canthus as diagnostic clue to cerebro-facial venous metameric syndrome: Report of a case [North Clin Istanb]
North Clin Istanb. 2020; 7(5): 508-511 | DOI: 10.14744/nci.2020.02259

The lump of the medial canthus as diagnostic clue to cerebro-facial venous metameric syndrome: Report of a case

Carlo Augusto Mallio1, Federico Greco2, Bruno Beomonte Zobel1, Carlo Cosimo Quattrocchi1
1Departmental Faculty of Medicine and Surgery, Unit of Diagnostic Imaging and Interventional Radiology, Università Campus Bio-Medico di Roma, Rome, Italy
2Corporate Territorial Imaging Diagnostics, Cittadella della Salute Local Health Authority of Lecce, Lecce, Italy

The Cerebro-Facial Venous Metameric Syndrome is characterized by ipsilateral venous/lymphatic anomalies involving simultaneously the brain and the face with a metameric distribution. This case report to describe a case of Cerebro-Facial Venous Metameric Syndrome presenting with a lump of the medial canthus. This was a case report a 24-year-old woman with a history of a mild headache, complained of a sporadic (at least once a month) serous leakage from the left eye and a small cutaneous protuberance in the left medial canthus, without focal neurological symptoms. The patient underwent brain Magnetic Resonance Imaging and findings were suggestive of a Cerebro-Facial Venous Metameric Syndrome 1-2. When multiple and ipsilateral vascular anomalies are observed, it should be considered the presence of Cerebro-Facial Metameric Syndrome, even without neurological symptoms and port-wine stains. Follow-up is mandatory, especially if there are cavernomas or facial arterio-venous malformations due to the risk of bleeding. (NCI-2020-0062.R1)

Keywords: Cavernoma, cerebro-facial arterio-venous metameric syndrome; cerebro-facial venous-lymphatic metameric syndrome; magnetic resonance imaging.

Carlo Augusto Mallio, Federico Greco, Bruno Beomonte Zobel, Carlo Cosimo Quattrocchi. The lump of the medial canthus as diagnostic clue to cerebro-facial venous metameric syndrome: Report of a case. North Clin Istanb. 2020; 7(5): 508-511

Corresponding Author: Carlo Augusto Mallio
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