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Restricted Diffusion of the Superior and Inferior Ophthalmic Veins in Cavernous Sinus Thrombosis

De Lott, Lindsey, B., MD; Trobe, Jonathan, D., MD; Parmar, Hemant, MD

doi: 10.1097/WNO.0b013e318283d7b6
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Abstract: Two previous reports have described restricted diffusion in thrombosed superior ophthalmic veins (SOVs) in patients with cavernous sinus thrombosis (CST). We report a patient who displayed restricted diffusion in both the SOV and inferior ophthalmic vein in CST consequent to a masticator space abscess. The orbital vascular imaging findings added support to the cavernous sinus findings in making the diagnosis of CST. Diffusion-weighted imaging of the orbit is a valuable asset in this setting.

Departments of Ophthalmology and Visual Sciences (LBL, JDT), Neurology (LBL, JDT), and Radiology (HP), University of Michigan, Ann Arbor, Michigan.

Address correspondence to Jonathan D. Trobe, MD, 1000 Wall Street, Ann Arbor, MI 48105; E-mail:

Disclosures: The authors report no conflicts of interest.

© 2018 by North American Neuro-Ophthalmology Society