MRI Characteristics of Cavernous Sinus and Superior Ophthalmic Vein Septic Thrombosis

Update item information
Identifier EEC-Case-MRI of Cav Sinus and SOV Septic Thrombosis
Title MRI Characteristics of Cavernous Sinus and Superior Ophthalmic Vein Septic Thrombosis
Subject cerebral venous thrombosis; cavernous sinus thrombosis; superior ophthalmic vein; MRI
Creator Devin D. Mackay, M.D. Emory Eye Center Atlanta, Georgia; Valérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of Medicine
Description Septic left cavernous sinus and superior ophthalmic vein thrombosis, secondary to left maxillary tooth abscess. MRI characteristics. Figure 1 : MRI Orbits (Coronal T2 with fat suppression) : Left periorbital edema (increased T2 signal, yellow arrows) extends inferiorly along the premalar tissues to the maxillary region, likely related to a left maxillary molar dental infection. Figure 2 : MRI Orbits (Axial T1 without contrast) : Axial T1 pre-contrast images showing left eye proptosis (the patient was 18 weeks pregnant at the time of imaging and contrast was not administered). Figure 3 : MRI Orbits (Axial T2 without contrast) : Axial T2 images demonstrating left periorbital edema (hyperintensity, yellow arrows) and left proptosis. Figure 4: MRI Orbits (Coronal T2 with fat supression) : Coronal T2 sequence showing hyperintense signal in the left cavernous sinus (red arrow) with associated narrowing of the left internal carotid artery (ICA) (white arrow), compatible with left cavernous sinus thrombosis and associated spasm of the left cavernous ICA. Figure 5: MRI Orbits (Axial T1 with fat suppression) : Increased T1 signal in the enlarged left superior ophthalmic vein (red arrows), consistent with thrombosis.
Contributor Primary Mackay, Devin D.
Contributor Secondary Biousse, Valerie
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2014
Type Text
Format application/pdf
Rights Management Copyright 2014. For further information regarding the rights to this collection, please visit:
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Language eng
ARK ark:/87278/s66m64cf
Setname ehsl_novel_eec
Date Created 2014-10-14
Date Modified 2020-08-20
ID 177388
Reference URL
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