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

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.A 59-year-old man presented to the emergency room with several weeks of pain in the left jaw exacerbated by chewing and talking. Four days earlier, he had noticed