Morning glory disc anomaly associated with moyamoya disease and pituitary stalk duplication

Mohamed M Khodeiry; Viet Q Chau; Anas Yasin; Robert M Starke; Shahnaz Miri; Joshua Pasol

doi:10.1016/j.ajoc.2022.101632

Morning glory disc anomaly associated with moyamoya disease and pituitary stalk duplication

Am J Ophthalmol Case Rep. 2022 Jun 24:27:101632. doi: 10.1016/j.ajoc.2022.101632. eCollection 2022 Sep.

Authors

Mohamed M Khodeiry¹, Viet Q Chau¹, Anas Yasin¹, Robert M Starke², Shahnaz Miri¹, Joshua Pasol¹

Affiliations

¹ Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, FL, USA.
² Department of Neurological Surgery and Radiology, University of Miami Miller School of Medicine, Miami, FL, USA.

Abstract

Purpose: We report a case of a 10-year-old with Moring glory disc anomaly (MGDA) associated with Moyamoya disease and pituitary stalk duplication.

Observations: A 10-year-old Asian child presented with decreased vision in the right eye and bilateral nystagmus. Both dilated fundus exam and magnetic resonance imaging (MRI) of the orbit confirmed MGDA of the right eye. MRI of the brain demonstrated duplication of the pituitary stalk. Magnetic resonance angiography (MRA) of the brain revealed bilateral severe narrowing (greater on the right side) of the distal supraclinoid internal carotid arteries with bilateral reconstitution at the carotid terminus and prominent collaterals, suggestive of Moyamoya disease.

Conclusions: Patients with MGDA should undergo neuroimaging due to the associated central nervous system (CNS) anomalies.

Keywords: Morning glory disc anomaly; Moyamoya disease.

Publication types

Case Reports