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AJNR: American Journal of Neuroradiology logoLink to AJNR: American Journal of Neuroradiology
. 1998 Oct;19(9):1799-801.

Focal orbital amyloidosis presenting as rectus muscle enlargement: CT and MR findings.

K Okamoto 1, J Ito 1, I Emura 1, T Kawasaki 1, T Furusawa 1, K Sakai 1, S Tokiguchi 1
PMCID: PMC8337472  PMID: 9802509

Abstract

We report a case of focal orbital amyloidosis involving rectus muscles, which is an extremely rare clinical condition. CT scans showed rectus muscle enlargement with punctate calcifications. Heterogeneous hypointensity was present on T2-weighted MR images, and homogeneous enhancement was seen on fat-saturated contrast-enhanced images of the muscles. These imaging findings seem to be suggestive of amyloidosis. Focal amyloidosis should be included in the differential diagnosis of extraocular muscle enlargement.

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