case_images: PMC11143067_01
case_images: PMC11143067_02
case_images: clinical photograph of the patient at emergency room showing exophthalmos with ptosis and right eyelid inflammation (right eye)
case_images: PAMJ-47-119-g001.jpg
case_images: PMC11143067_02_PAMJ-47-119-g001.jpg
case_images: F1
case_images: Slit-lamp biomicroscopic examination showed a painful and pulsating right exophthalmos, associated with ptosis and right eyelid inflammation (Figure 1).
case_images: orbito-cerebral angio magnetic resonance imaging; axial images: (A,B) thrombosis of the right superior ophthalmic vein, with inflammatory infiltrate in the upper right rectus muscle; (C) sphenoidal sinusitis, and right otitis media
case_images: PAMJ-47-119-g002.jpg
case_images: PMC11143067_02_PAMJ-47-119-g002.jpg
case_images: F2
case_images: After stabilization of the patient in the intensive care unit, an orbit MRI was performed urgently, showing thrombosis of the right superior ophthalmic vein, an inflammatory infiltrate in the upper right rectus muscle, a filling of the sphenoid sinus with a hydro-aeric level in the reported with acute sphenoidal sinusitis, and an acute right otitis media (Figure 2).