AJDRAJNR - American Journal of Neuroradiology

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ARTICLE

Idiopathic Sclerotic Inflammation of the Orbit withLeft Optic Nerve Compression in a Patient with Multifocal Fibrosclerosis

Gottfried Johann Schaffler,a, Josef Simbrunnera, Helga Lechnera, Gerald Langmanna, Heinz Stammbergera, Anton Behama and Franz Ebnera

a From the Departments of Radiology (G.J.S., J.S., F.E.), Ophthalmology (H.L.), Otorhinolaryngology (H.S.), and Pathology (A.B.), University Hospital Graz.

Summary: We present the MR imaging findings in a 43-year-old male patient with bilateral idiopathic sclerosing inflammation of the orbit. Bilateral enhancing retrobulbar masses, with concentric compression of the retrobulbar segment of the left optic nerve, were seen. MR imaging proved to be the only means to distinguish between the different intraorbital structures and to determine the exact site of optic nerve compression. To our knowledge, this is the first documented case of MR imaging findings of this entity.