Atypical computed tomography findings in a case of orbital pseudotumor

The computer tomographic manifestations of orbital pseudotumors are varied. Among these findings, tram-tracking of the optic nerve sheath complex is rare. A patient with this unusual scan appearance is presented. Despite rapid clinical response to steroid therapy, this patient showed little initial improvement on computed tomography. The use of computed tomography scanning in the management of orbital pseudotumor is discussed.