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Journal of Neuro-Ophthalmology:
March 2009 - Volume 29 - Issue 1 - pp 13-15
doi: 10.1097/WNO.0b013e318183bde4
Original Contribution

Restricted Diffusion in the Optic Nerve and Retina Demonstrated by MRI in Rhino-Orbital Mucormycosis

Hatipoglu, Hatice Gul MD; Gurbuz, Muge Onbasioglu MD; Yuksel, Enis MD

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Abstract

A 29-year-old man developed vision loss in the right eye due to ophthalmic artery, cavernous sinus, and superior ophthalmic vein occlusion in mucormycosis. Diffusion MRI obtained within 2 days of symptom onset showed that the apparent diffusion coefficient values of the optic nerve and retina were remarkably decreased on the affected compared with the unaffected side. A follow-up MRI study 21 days after symptom onset revealed the anticipated disappearance of these signal changes, confirming that they were a true reflection of ischemia in the optic nerve and retina. This report adds to an accumulating body of literature on restricted diffusion in these tissues in conditions producing severe ischemia.

© 2009 Lippincott Williams & Wilkins, Inc.

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