We investigated the MRI appearance of the optic nerve and its cerebros
pinal-fluid-containing sheath in 17 patients with benign intracranial
hypertension (BIH) and 15 normal controls. Using phased-array local co
ils, 3-mm coronal T2-weighted fat-suppressed fast spin-echo images wer
e obtained with an in-plane resolution of < 0.39 mm. The optic nerve a
nd its sheath were clearly differentiated. An enlarged, elongated suba
rachnoid space around the optic nerve was demonstrated in patients wit
h BIH. High-resolution MRI of the optic nerve offers additional inform
ation which may be of value for diagnosis and in planning and monitori
ng treatment.