EURORAD ESR

Case 13260

“Orbitinig around” the diagnosis: pseudotumor cerebri

Author(s)
Tarantino A, Jablonska JP, D’Aprile P

San Paolo Hospital of Bari, Italy
 
Patient
female, 20 year(s)
 
 
  • Figure 1
    Preoperative MRI findings
     

    SE T2-weighted imaging, axial plane. Posterior flattening of the posterior pole of the globes, resulting in shortening of the eyes. Dilation and tortuosity of the optic nerve sheath.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    SE T1-weighted postcontrast imaging, axial plane. Posterior flattening of the posterior pole of the globes, resulting in shortening of the eyes. Dilation and tortuosity of the optic nerve sheath.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    SE T1-weighted postcontrast imaging, sagittal plane. Empty sella.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;
     
     
  • Figure 2
    Postoperative MRI findings
     

    SE T2-weighted imaging, axial plane. Resolution of the globe flattening. Normal appearance of the optic nerve bilaterally.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    SE FAT SAT T2-weighted imaging, coronal plane. No oedema, normal appearance of the optic nerve bilaterally.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    SE T1-weighted imaging, sagittal plane. Successful treatment resulted in resolution of the empty sella, with the pituitary reexpansion to the normal size.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;
     
     
SE T2-weighted imaging, axial plane. Posterior flattening of the posterior pole of the globes, resulting in shortening of the eyes. Dilation and tortuosity of the optic nerve sheath.
 
SE T1-weighted postcontrast imaging, axial plane. Posterior flattening of the posterior pole of the globes, resulting in shortening of the eyes. Dilation and tortuosity of the optic nerve sheath.
 
SE T1-weighted postcontrast imaging, sagittal plane. Empty sella.
 
SE T2-weighted imaging, axial plane. Resolution of the globe flattening. Normal appearance of the optic nerve bilaterally.
 
SE FAT SAT T2-weighted imaging, coronal plane. No oedema, normal appearance of the optic nerve bilaterally.
 
SE T1-weighted imaging, sagittal plane. Successful treatment resulted in resolution of the empty sella, with the pituitary reexpansion to the normal size.
 
 
 
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