Marfan syndrome presenting with headache and coincidental ophthalmic artery aneurysm

Abstract

A 24-year-old Ugandan woman was referred for a neurology opinion after complaining of a year long history of right-sided retro-orbital stabbing pain. Brain imaging revealed a coincidental 3 mm left ophthalmic artery aneurysm. Marfanoid habitus was noted; after further investigations she was diagnosed with mild aortic root dilatation, subtle lens dislocation and Marfan syndrome. Her symptoms were secondary to temporomandibular joint dysfunction, an underrecognised complication of Marfan syndrome. Her ophthalmic artery aneurysm is likely to be a coincidental finding. Copyright 2013 BMJ Publishing Group. All rights reserved.