Orbital cavernous venous malformation

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Diplopia.

Patient Data

Age: 35 years
Gender: Male

There is a well-circumscribed right-sided intraorbital soft tissue mass of intraconal location between the optic nerve and superior rectus muscle that causes inferomedial displacement of the optic nerve. It appears intermediate signal on T1WI, inhomogeneous high signal on T2WI/FLAIR with relatively intense and heterogeneous enhancement on postcontrast sequences.

Case Discussion

MRI features are most consistent of orbital cavernous hemangioma.

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