Figure 15. 74-year-old diabetic patient with acute onset of nerve palsy of the 3^rd, 4^th and 6^th cranial nerves on the right side and progressive “reddening” of the right eye and painful eye movement.

a) Axial CT demonstrates inflammatory changes of the right sphenoid sinus (arrow).

b) Sagittal reconstructed CT images demonstrate diffuse inflammatory changes of the globe and the optic nerve (arrow).

c) Coronal reconstructed CT images demonstrate subtle inflammatory changes also on the left side. MRI (not shown) demonstrated thrombosis of the cavernous sinus on both sides, which was not detectable on CT. Surgery confirmed Candida infection.