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

Recurrent Optic Neuropathy Caused by a Mucocele of the Anterior Clinoid Process after a 5-Year Remission: A Case Report and Literature Review

“…1,2,7,9 Because expansion of the mucocele may cause severe visual impairment, prompt surgical treatment is recommended. 7,9,10 In the present case, steroid pulse therapy was effective in two previous ocular episodes. Acute retrobulbar neuritis could have been a differential diagnosis; 12 however, we failed to identify obvious inflammation in the optic nerve itself on the brain MR images during the first recurrence.…”

“…8,9 Because this condition may have a poor prognosis, 3,4,6 urgent surgical treatment including craniotomy or endoscopic drainage has been proposed. 2,5,7,9,10 The long-term course of this disease without surgical treatment has not been well described, especially when alternative treatment resulted in improvement and remission for several years. We herein present a case involving a patient with optic neuropathy due to mucocele formation in a pneumatised anterior clinoid process treated with steroid pulse therapy.…”

Anterior clinoid mucocele presenting with orbital apex syndrome

“…[1723] Sphenoid sinus mucoceles involving an aerated ACP have been sparsely reported in the past, with the majority presenting with vision loss as the primary complaint. [26791012141519212224] Ophthalmoparesis at presentation has been reported less frequently. [81116] In this report, we describe a spontaneous ACP mucocele presenting as OAS, progressing to cause mass effect upon the ipsilateral optic nerve.…”

“…Importantly, urgent decompression has met with significant recovery of some visual capacity. [61926] Second, if the cumulative effect of several bouts of inflammation has led to the obstruction, then antibiosis is unlikely to have any decompressive effect, even if empiric coverage is adequate to cover the wide range of possible causative organisms. We do feel that a trial of antibiotics is warranted in patients with findings suggestive of acute bacterial infection and no neurologic deficits.…”

Complete Recovery of Visual Disorder Following Surgical Resection of Adenoid Cystic Carcinoma Arising in the Pterygopalatine Fossa

“…Owing to its proximity to the superior orbital fissure and optic canal, neoplasms arising in the pterygopalatine fossa may cause optic neuropathy by direct invasion or oncothlipsis. Current literature has described possible visual recovery following excision of anterior clinoid mucocele, 5 but few authors reported whether the visual deficit could be resolved after the resection of the tumor arising in the pterygopalatine fossa.…”