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eNeurologicalSci. 2017 May 24;7:57-59. doi: 10.1016/j.ensci.2017.05.005. eCollection 2017 Jun.

Anterior clinoid mucocele causing optic neuropathy: A case report and review of literature.

eNeurologicalSci

Mohab Abozed, Ghanem Alsulaiti, Fatema Almannaei, Ali Raza, Ahmed El Beltagi, Ali Ayyad

Affiliations

  1. Neurosurgery Department, Hamad General Hospital, Qatar.
  2. Ophthalmology Department, Hamad General Hospital, Qatar.
  3. Neuroradiology Department, Hamad General Hospital, Qatar.
  4. Neurosurgery Department, University Medical Center Mainz, Germany.

PMID: 29260025 PMCID: PMC5721549 DOI: 10.1016/j.ensci.2017.05.005

Abstract

A 66 year old Indian gentleman presented with a 3 days history of headache and gradual progressive loss of vision in his eft eye, ophthalmological assessment showed no light perception in his left eye with papilledema and afferent papillary defect. Computed tomography (CT) and Magnetic Resonance Imaging (MRI) were done and showed an expanding lesion in the left anterior clinoid process encroaching upon the left orbital apex and optic nerve with features suggestive of a mucocele. Patient was started on dexamethasone, and urgent craniotomy was undertaken, where marsupialization and resection of left anterior clinoid mucocele was done, and histopathologic examination of the operative specimen was consistent with a mucocele. Post-operatively, patient was kept on dexamethasone for few days, with uneventful outcome, and his follow up at 6 months showed complete recovery of his vision from no light perception to 6/12 in the affected eye.

Keywords: Anterior clinoid process; Mucocele; Optic neuropathy

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