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Neurological picture
A case of cerebral and retinal vascular anomaly in a patient with Klippel–Trenaunay–Weber syndrome
  1. Qi Li1,2,
  2. Peter Mitchell3,
  3. Richard Dowling3,
  4. Robert Buttery4,
  5. Bernard Yan2
  1. 1Department of Neurology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China
  2. 2Department of Neurology, The Royal Melbourne Hospital, Melbourne, Australia
  3. 3Department of Radiology, Royal Melbourne Hospital, Melbourne, Australia
  4. 4Royal Victorian Eye and Ear Hospital, Melbourne, Australia
  1. Correspondence to Professor Bernard Yan, the Department of Neurology, The Royal Melbourne Hospital, Grattan Street, Parkville Vic 3050, Melbourne, Victoria, Australia; bernard.yan{at}mh.org.au

https://doi.org/10.1136/jnnp-2011-300132

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    A 26-year-old woman presented to the neurology clinic with gradual onset of headache for 8 years. Her headaches were initially bifrontal, episodic and would last for a few hours and then dissipate completely. About 12 months ago, her headache gradually worsened and could be triggered by bending over. The headache was more bearable when standing upright and occurred on a daily basis. The patient was diagnosed with Klippel–Trenaunay–Weber syndrome since childhood. She had no family history of Klippel–Trenaunay–Weber syndrome or any other familial genetic diseases. About 5 years ago, the patient presented to an ophthalmic clinic reporting difficulty with distance vision. A small myopic astigmatic refractive correction improved vision from 6/9 to 6/4.5 in both eyes. As an asymptomatic finding, there were …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Ethics approval The Ethics committee of the Royal Melbourne Hospital.

    • Provenance and peer review Not commissioned; externally peer reviewed.