Abstract
We present the case of pineal gland arteriovenous malformation (AVM) with optic neuropathy in a 29-year-old male who presented to our hospital with diminished vision in both eyes associated with headache, dizziness, and generalized weakness for 3 years. Visual acuity was counting finger at 3 m in the right eye and counting finger close to the face in the left eye. Posterior segment examination showed papilloedema. Magnetic resonance imaging of the brain and orbit with angiography revealed AVM in the pineal gland area which was compressing over the cerebral aqueduct and floor of the third ventricle causing ventricular dilation.
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