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Optic Neuritis: Evaluation with Orbital Doppler Sonography¹

Kamil Karaali, MD, Utku enol, MD, Hülya Aydn, MD, Can Çevikol, MD, Ali Apaydn, MD and Ersin Lüleci, MD

¹ From the Departments of Radiology (K.K., U.S., C.C., A.A., E.L.) and Neurology (H.A.), Akdeniz University School of Medicine, 07070 Antalya, Turkey. From the 2001 RSNA scientific assembly. Received November 27, 2001; revision requested February 8, 2002; revision received April 17; accepted June 3. Address correspondence to K.K. (e-mail: karaali@med.akdeniz.edu.tr).

View larger version (91K): [in a new window]   Figure 1a. Images obtained in a 28-year-old woman with optic neuritis in the left eye. (a) Coronal MR image obtained with spectral presaturation inversion recovery combined with fluid-attenuated inversion recovery sequences (5,000/100/2,000) shows enlargement of and increased signal intensity in the left optic nerve (arrow). (b) Doppler spectra obtained in the left ophthalmic artery of the same patient. The peak systolic velocity was 52 cm/sec, and the end diastolic velocity was 8 cm/sec. (c) Doppler spectra obtained in the right ophthalmic artery in the same patient. The peak systolic velocity was 22 cm/sec, and the end diastolic velocity was 8 cm/sec.

View larger version (92K): [in a new window]   Figure 1b. Images obtained in a 28-year-old woman with optic neuritis in the left eye. (a) Coronal MR image obtained with spectral presaturation inversion recovery combined with fluid-attenuated inversion recovery sequences (5,000/100/2,000) shows enlargement of and increased signal intensity in the left optic nerve (arrow). (b) Doppler spectra obtained in the left ophthalmic artery of the same patient. The peak systolic velocity was 52 cm/sec, and the end diastolic velocity was 8 cm/sec. (c) Doppler spectra obtained in the right ophthalmic artery in the same patient. The peak systolic velocity was 22 cm/sec, and the end diastolic velocity was 8 cm/sec.

View larger version (90K): [in a new window]   Figure 1c. Images obtained in a 28-year-old woman with optic neuritis in the left eye. (a) Coronal MR image obtained with spectral presaturation inversion recovery combined with fluid-attenuated inversion recovery sequences (5,000/100/2,000) shows enlargement of and increased signal intensity in the left optic nerve (arrow). (b) Doppler spectra obtained in the left ophthalmic artery of the same patient. The peak systolic velocity was 52 cm/sec, and the end diastolic velocity was 8 cm/sec. (c) Doppler spectra obtained in the right ophthalmic artery in the same patient. The peak systolic velocity was 22 cm/sec, and the end diastolic velocity was 8 cm/sec.

View larger version (113K): [in a new window]   Figure 2a. Images obtained in a 24-year-old man with optic neuritis in the right eye. (a) Coronal short inversion time inversion-recovery MR image (2,500/90/140) shows enlargement of and increased signal intensity in the right optic nerve (arrow). (b) Doppler spectra obtained in the right ophthalmic artery in the same patient. The peak systolic velocity was 58 cm/sec, and the end diastolic velocity was 16 cm/sec. (c) Doppler spectra obtained in the left ophthalmic artery in the same patient. The peak systolic velocity was 37 cm/sec, and the end diastolic velocity was 8 cm/sec.

View larger version (99K): [in a new window]   Figure 2b. Images obtained in a 24-year-old man with optic neuritis in the right eye. (a) Coronal short inversion time inversion-recovery MR image (2,500/90/140) shows enlargement of and increased signal intensity in the right optic nerve (arrow). (b) Doppler spectra obtained in the right ophthalmic artery in the same patient. The peak systolic velocity was 58 cm/sec, and the end diastolic velocity was 16 cm/sec. (c) Doppler spectra obtained in the left ophthalmic artery in the same patient. The peak systolic velocity was 37 cm/sec, and the end diastolic velocity was 8 cm/sec.

View larger version (98K): [in a new window]   Figure 2c. Images obtained in a 24-year-old man with optic neuritis in the right eye. (a) Coronal short inversion time inversion-recovery MR image (2,500/90/140) shows enlargement of and increased signal intensity in the right optic nerve (arrow). (b) Doppler spectra obtained in the right ophthalmic artery in the same patient. The peak systolic velocity was 58 cm/sec, and the end diastolic velocity was 16 cm/sec. (c) Doppler spectra obtained in the left ophthalmic artery in the same patient. The peak systolic velocity was 37 cm/sec, and the end diastolic velocity was 8 cm/sec.