Advertisement
Rapid Communication| Volume 312, ISSUE 1-2, P184-190, January 15, 2012

Download started.

Ok

Complete recovery of acute monocular visual loss following endoscopic resection of anterior clinoid mucocele: Case report and review of the literature

Published:September 05, 2011DOI:https://doi.org/10.1016/j.jns.2011.08.020

      Abstract

      Mucoceles are chronic non-neoplastic cystic lesions lined by mucus-secreting respiratory epithelium in the paranasal sinuses. Mucocele of the anterior clinoid process is a particularly rare entity most often presenting with rapidly progressive monocular blindness. The authors describe the case of a 32 year-old man who presented with acute painless visual loss in the left eye. Workup revealed an expansile lesion of the left anterior clinoid process with associated optic nerve compression. The patient underwent emergent endoscopic-assisted transnasal decompression of the optic nerve with full recovery of visual function. Early diagnosis and prompt surgical intervention optimizes the chances of functional regain of visual acuity.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Neurological Sciences
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Mikami T.
        • Minamida Y.
        • Koyanagi I.
        • Baba T.
        • Houkin K.
        Anatomical variations in pneumatization of the anterior clinoid process.
        J Neurosurg. 2007; 106: 170-174
        • Abuzayed B.
        • Tanriover N.
        • Biceroglu H.
        • Yuksel O.
        • Tanriover O.
        • Albayram S.
        • et al.
        Pneumatization degree of the anterior clinoid process: a new classification.
        Neurosurg Rev. 2010; 33: 367-373
        • Kantarci M.
        • Karasen R.M.
        • Alper F.
        • Onbas O.
        • Okur A.
        • Karaman A.
        Remarkable anatomic variations in paranasal sinus region and their clinical importance.
        Eur J Radiol. 2004; 50: 296-302
        • Chou P.I.
        • Chang Y.S.
        • Feldon S.E.
        • Chen J.T.
        Optic canal mucocele from anterior clinoid pneumatisation.
        Br J Ophthalmol. 1999; 83: 1306-1307
        • Chung D.S.
        • Park Y.S.
        • Lee J.H.
        • Kang J.K.
        Mucocele of the anterior clinoid process: case report.
        Neurosurgery. 1999; 45: 376-378
        • Deshmukh S.
        • DeMonte F.
        Anterior clinoidal mucocele causing optic neuropathy: resolution with nonsurgical therapy. Case report.
        J Neurosurg. 2007; 106: 1091-1093
        • DeLozier H.L.
        • Parkins C.W.
        • Gacek R.R.
        Mucocele of the petrous apex.
        J Laryngol Otol. 1979; 93: 177-180
        • Osborn A.G.
        • Parkin J.L.
        Mucocele of the petrous temporal bone.
        AJR Am J Roentgenol. 1979; 132: 680-681
        • Lim C.C.
        • Dillon W.P.
        • McDermott M.W.
        Mucocele involving the anterior clinoid process: MR and CT findings.
        AJNR Am J Neuroradiol. 1999; 20: 287-290
        • Chagla A.S.
        • Bhaganagare A.
        • Kansal R.
        • Tyagi D.
        Complete recovery of visual loss following surgical treatment of mucopyocele of the anterior clinoid process.
        J Clin Neurosci. 2010; 17: 670-672
        • Dunya I.M.
        • Frangieh G.T.
        • Heilman C.B.
        • Miranda M.R.
        • Rand L.I.
        • Hedges T.R.
        Anterior clinoid mucocele masquerading as retrobulbar neuritis.
        Ophthal Plast Reconstr Surg. 1996; 12: 171-173
        • Garaventa G.
        • Arcuri T.
        • Schiavoni S.
        • Fonzari M.
        Anterior clinoid mucocele: a trans-nasal endoscopic approach.
        Minim Invasive Neurosurg. 1997; 40: 144-147
        • Johnson L.N.
        • Hepler R.S.
        • Yee R.D.
        • Batzdorf U.
        Sphenoid sinus mucocele (anterior clinoid variant) mimicking diabetic ophthalmoplegia and retrobulbar neuritis.
        Am J Ophthalmol. 1986; 102: 111-115
        • Kwon S.H.
        • Kim S.H.
        • Yoon J.H.
        Anterior clinoid mucocele coexisting with sphenoid sinus mucocele.
        Auris Nasus Larynx. 2009; 36: 598-600
        • Righini C.A.
        • Darouassi Y.
        • Boubagra K.
        • Schmerber S.
        • Reyt E.
        Sphenoid sinus mucocele of unusual aetiology and location.
        Rev Laryngol Otol Rhinol (Bord). 2006; 127: 165-170
        • Schwaighofer B.W.
        • Sobel D.F.
        • Klein M.V.
        • Zyroff J.
        • Hesselink J.R.
        Mucocele of the anterior clinoid process: CT and MR findings.
        J Comput Assist Tomogr. 1989; 13: 501-503
        • Thurtell M.J.
        • Besser M.
        • Halmagyi G.M.
        Anterior clinoid mucocele causing acute monocular blindness.
        Clin Experiment Ophthalmol. 2007; 35: 675-676
        • Vaphiades M.S.
        • Yunker J.J.
        • Roberson G.H.
        • Meyer D.R.
        • Mills D.M.
        Optic neuritis is nothing to sneeze at.
        Surv Ophthalmol. 2007; 52: 106-110
        • Arnavielle S.
        • Vignal-Clermont C.
        • Galatoire O.
        • Jacomet P.V.
        • Klap P.
        • Boissonnet H.
        • et al.
        Compressive optic neuropathy related to an anterior clinoid mucocele.
        J Fr Ophtalmol. 2010; 33: 208:e1-6
        • Hejazi N.
        • Witzmann A.
        • Hassler W.
        Ocular manifestations of sphenoid mucoceles: clinical features and neurosurgical management of three cases and review of the literature.
        Surg Neurol. 2001; 56: 338-343
        • Yamaguchi K.
        • Ohnuma I.
        • Takahashi S.
        • Fuse T.
        • Aoyagi M.
        • Nagahata M.
        • et al.
        Magnetic resonance imaging in acute optic neuropathy by sphenoidal mucocele.
        Int Ophthalmol. 1997; 21: 9-11
        • Forer B.
        • Hui N.Y.
        • Sethi D.S.
        Unilateral ophthalmoplegia secondary to anterior clinoid process mucocele.
        J Neuroophthalmol. 2010; 30: 321-324
        • Har-El G.
        Endoscopic management of 108 sinus mucoceles.
        Laryngoscope. 2001; 111: 2131-2134
        • Yumoto E.
        • Hyodo M.
        • Kawakita S.
        • Aibara R.
        Effect of sinus surgery on visual disturbance caused by spheno-ethmoid mucoceles.
        Am J Rhinol. 1997; 11: 337-343