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KMID : 1036520130030020119
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Clinical Neuro-Ophthalmology
2013 Volume.3 No. 2 p.119 ~ p.121
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Superior Ophthalmic Vein Thrombosis Presented with Painful Ophthalmoplegia and Proptosis
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Hwang Yun-Su
Song Hyun-Seok
Lee Hak-Seung
Park Hyun-Young
Chang Hyuk
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Abstract
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Superior ophthalmic vein (SOV) thrombosis is a rare entity, which may present with dramatic clinical signs. A 68-year-old woman presented with a 1-week history of painful and progressive right sided proptosis with accompanying blurring of vision. Magnetic resonance imaging (MRI) showed dilated right SOV in T2 weighted MRI and increased signal intensity in right SOV in T1 weighted MRI. We report an unusual case of isolated SOV thrombosis with overlapping features of idiopathic orbital inflammatory disease (IOID). We postulate that the same mechanism, with a predominantly inflammatory component, may account for SOV thrombosis in IOID.
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KEYWORD
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Superior ophthalmic vein (SOV) thrombosis, Ophthalmoplegia, Proptosis, Idiopathic orbital inflammatory disease (IOID)
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