Bilateral Compressive Optic Neuropathy Secondary to Bilateral Sphenoethmoidal Mucoceles

Newton, Norris L.; Baratham, Gopal; Sinniah, Raja; Lim, Arthur

doi:10.1159/000309953

Cited by 19 publications

(7 citation statements)

References 6 publications

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“…Reported clinical manifestations include headache (typically retro-orbital), facial pain, anosmia, visual loss due to optic nerve involvement (sudden or gradual, binocular or monocular), monocular or binocular, third, fourth, sixth nerve palsies (in isolation or in combination), and rarely hypopituitarism. [5][6][7][8][9][10][11] Visual loss is more common, in contrast to fronto-ethmoidal mucoceles.…”

Section: Discussionmentioning

confidence: 99%

Visual Outcomes in Patients With Paranasal Mucoceles

Loo

Looi²,

Seah³

2009

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Our series highlights the greater risk of optic neuropathy and poor visual outcome with sphenoid sinus and Onodi cell mucoceles because of their proximity to the optic nerve. However, fronto-ethmoidal mucoceles are not benign and may compromise vision, especially if a posterior ethmoid component is present, or if treatment is delayed and secondary infection has ensued to form a pyelocele. Management of paranasal mucoceles should be prompt, particularly when signs of inflammation are present.

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Section: Discussionmentioning

confidence: 99%

Visual Outcomes in Patients With Paranasal Mucoceles

Loo

Looi²,

Seah³

2009

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…We agree w ith New ton (7) when he mainrains that when facing an orbital apex and an cprical can al syndrome. tbe pre sence of an expansive patholog y has ro be exctuded befc re maki ng .1 "mediral diagnosis" (in this rase we are considering a MS) and th at the surgical treatment should be made quickly.…”

Section: Discussionmentioning

confidence: 54%

Anterior Clinoid Mucocele: A Trans-Nasal Endoscopic Approach

Garaventa¹,

Arcuri²,

Schiavoni³

et al. 1997

Minim Invasive Neurosurg

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The goals of the treatment of paranasal sinuses mucocele are the relief of the symptoms due to compression and the prevention of recurrence. Because of the benignity of the pathology, it is mandatory to choose the approach that minimizes the surgical trauma. When an anterior clinoid mucocele is found, the conventional approaches are the trans-nasoethmoidal, the subtemporal or the pterional ones: we think that as a really mini-invasive approach, the transnasal endoscopy may be proposed. Anterior clinoid localization may be reached by a trans-sphenoidal way and treated by endoscopic microsurgery with a very low morbility. This paper deals with a case of anterior clinoid mucocele treated by this way with good anatomic and functional results and stresses the importance of the pre-operative imaging (CT/MR) allowing one to make a sure diagnosis and to choose the cases suitable for this surgical approach.

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“…Compressive optic neuropathy may be caused by ethmoid and/or sphenoid sinus mucoceles or mucopyoceles and/or associated edema and thickening of the sinus walls [7]. Polyps involving the mucosa of the sphenoid sinus also cause compression of the nerve [4].…”

Section: Discussionmentioning

confidence: 99%