VASCULAR MALFORMATION Flashcards

1
Q

Types of Vascular Malformation
(LVAA)

A

Lymphatic Malformation
Venous malformations of the orbit
Arteriovenous Malformations
Arteriovenous fistulas

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2
Q

a.k.a lymphangiomas

A

Lymphatic malformations

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3
Q
  • multi-cystic
  • localized malformations that involve the lymphatic and vascular systems
A

Lymphatic malformations

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4
Q

Cause of lymphatic malformations

A
  • lymph vessels form abnormally
  • which leads to aberrant development and congenital malformation
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5
Q

usually become apparent in the _____ or _______ decade of life

A

lymphatic malformations; first, second

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6
Q

common affected locations of lymphatic malformations (CEOSH)

A

-conjunctiva
- eyelids
- oropharynx
- sinuses
- head and neck region

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7
Q

management of lymphatic malformations (OISS)

A
  • observation
  • intralesional sclerosant injection
  • systemic medication
  • surgery
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8
Q

prevents cell growth and proliferation (sa lymphatic malformations ni related)

A

systemic medication

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9
Q

TRUE/FALSE: Surgery is the reduction in the size of the cyst or lesion

A

FALSE (intralesional sclerosant injection)

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10
Q

observation of lymphatic malformation as treatment is only applicable to those

A
  • who do not have vision threatening symptoms
  • severe physical disfigurement
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11
Q

a.k.a orbital varices

A

venous malformations of the orbit

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12
Q

low flow vascular lesions resulting from vascular dysgenesis

A

venous malformations of the orbit

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13
Q

Px’s with venous malformations of the orbit may exhibit

A
  • enophthalmos at rest, when the lesion is not engorged
  • proptosis
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14
Q

treatment for venous malformations of the orbit is usually ________

A

conservative

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15
Q

surgery for venous malformations of the orbit is reserved for

A
  • relief of significant pain
  • possible vision-threatening compressive optic neuropathy
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16
Q

high-flow developmental anomalies

A

arteriovenous malformations

17
Q

composed of abnormally formed connecting arteries and veins

A

arteriovenous malformations

18
Q

treatment of arteriovenous malformations (SS)

A
  • selective occlusion (blockage) of the feeding vessels
  • surgical excision
19
Q

acquired lesions characterized by abnormal direct communication between an artery and a vein

A

arteriovenous fistulas

20
Q

blood flow does not pass through an intervening capillary bed

A

arteriovenous fistulas

21
Q

2 forms of acquired arterial diversion that affect the cavernous sinus

A

direct carotid-cavernous fistulas & indirect,or dural,carotid-cavernous fistulas

22
Q

TRUE/FALSE: Direct carotid-cavernous fistulas is a connection between meningeal branches of the internal carotid artery and the cavernous sinus

23
Q

typically occur after a trauma

A

direct carotid-cavernous fistulas

24
Q

connection between the internal carotid artery and the cavernous sinus

A

direct carotid-cavernous fistulas

25
characteristics of direct carotid-cavernous fistulas (TPIEO)
- tortuous conjunctival blood vessels - pulsatile proptosis - ischemic ocular damage - elevated IOP - ocular motility abnormalities
26
complications for direct carotid-cavernous fistulas (CED)
- compression of cranial nerves III, IV & VI - EOM palsies - diffuse enlargement of EOM
27
connection between meningeal branches of the internal or external carotid artery or both and the cavernous sinus
indirect, or dural,carotid-cavernous fistulas
28
indirect carotid-cavernous fistulas is a degenerative process in older Px's with (SVA)
- systemic hypertension - vascular disease - atherosclerosis
29
characteristics of an indirect carotid-cavernous fistulas (OMPPCA)
- onset can be gradual - mild orbital congestion - proptosis - pain - chronic red eye - asymmetric elevation of IOP
30
risks of indirect carotid-cavernous fistulas
- glaucomatous optic - disc damage
31
treatment for arteriovenous fistulas
coil embolization
32
this is placing a small platinum coil where the abnormal connection is located; this also separates the blood flow of the carotid arteries from that of the veins
coil embolization
33
what's the result of coil embolization
blood can drain properly from the eyes