Unilateral Ophthalmoplegia Secondary to Anterior Clinoid Process Mucocele
- 1 December 2010
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Neuro-Ophthalmology
- Vol. 30 (4), 321-324
- https://doi.org/10.1097/wno.0b013e3181e92b68
Abstract
A 50-year-old Chinese man presented with rapidly progressive unilateral ophthalmoplegia and then an ipsilateral afferent pupil defect. CT and MRI revealed a mass centered in the anterior clinoid process causing bone destruction and showing high T1 and T2 signal intensity indicative of mucosal protein secretion. These imaging features suggested a mucocele, which may have resulted from sequestration of a clinoidal extension of the sphenoid sinus. The sphenoid sinus was opened via an image-guided endoscopic approach, and the lesion incised. There were no complications. The ophthalmoplegia and afferent pupil defect had completely resolved within 1 week of surgery. This is the eighth reported case of anterior clinoidal mucocele, a rare cause of ophthalmoplegia or optic neuropathy. Advances in endoscopic instrumentation, navigation systems, and intraoperative imaging have reduced the operative risk and made the endoscopic approach a feasible and safer alternative to open surgery for this condition.Keywords
This publication has 12 references indexed in Scilit:
- Anterior clinoid mucocele causing acute monocular blindnessClinical & Experimental Ophthalmology, 2007
- Anterior clinoidal mucocele causing optic neuropathy: resolution with nonsurgical therapyJournal of Neurosurgery, 2007
- Ocular presentation of sphenoid mucoceleOrbit, 2004
- Optic canal mucocoele from anterior clinoid pneumatisationBritish Journal of Ophthalmology, 1999
- Mucocele of the Anterior Clinoid Process: Case ReportNeurosurgery, 1999
- Anterior Clinoid Mucocele: A Trans-Nasal Endoscopic Approachmin - Minimally Invasive Neurosurgery, 1997
- Anterior Clinoid Mucocele Masquerading as Retrobulbar NeuritisOphthalmic Plastic & Reconstructive Surgery, 1996
- Mucocele of the Anterior Clinoid ProcessJournal of Computer Assisted Tomography, 1989
- Mucocele of the paranasal sinusesThe Journal of Laryngology & Otology, 1978
- ETHMOID LABYRINTH: ANATOMIC STUDY, WITH CONSIDERATION OF THE CLINICAL SIGNIFICANCE OF ITS STRUCTURAL CHARACTERISTICSJAMA Otolaryngology–Head & Neck Surgery, 1939