A Case of Recurred Visual Loss Caused by Anterior Clinoid Process Mucocele

The anterior clinoid process may be pneumatized by an extension of the sphenoid sinus air space. An anterior clinoid mucocele is a particularly rare entity, which can lead to optic complication due to its proximity to the optic nerve. Optic neuropathy is seldom recoverd if there is a delay in treatment for more than 10 days. The primary treatment for mucocele is surgical excision. We report a patient with mucocele of the anterior clinoid process that resulted in recurrent monocular visual loss. The patient underwent endoscopy-assisted transnasal marsupialization of mucocele with full recovery of visual function. � Korean J Otorhinolaryngol-Head Neck Surg 2013;56:655-8 Key WordsZZAnterior clinoid process ㆍEndoscopic sinus surgery ㆍMucocele ㆍOptic neuropathy.

[1]  S. Mittal,et al.  Complete recovery of acute monocular visual loss following endoscopic resection of anterior clinoid mucocele: Case report and review of the literature , 2012, Journal of the Neurological Sciences.

[2]  A. Chagla,et al.  Complete recovery of visual loss following surgical treatment of mucopyocele of the anterior clinoid process , 2010, Journal of Clinical Neuroscience.

[3]  Joo-Heon Yoon,et al.  Anterior clinoid mucocele coexisting with sphenoid sinus mucocele. , 2009, Auris, nasus, larynx.

[4]  S. Deshmukh,et al.  Anterior clinoidal mucocele causing optic neuropathy: resolution with nonsurgical therapy. Case report. , 2007, Journal of neurosurgery.

[5]  Jacob J. Yunker,et al.  Optic neuritis is nothing to sneeze at. , 2007, Survey of ophthalmology.

[6]  O. Onbas,et al.  Remarkable anatomic variations in paranasal sinus region and their clinical importance. , 2004, European journal of radiology.

[7]  박동선,et al.  Endoscopic Treatment of Anterior Clinoid Process Mucocele:3 Cases , 2004 .

[8]  S. Aeumjaturapat,et al.  Sphenoid sinus mucocele presenting with isolated oculomotor nerve palsy. , 2001, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[9]  M. McDermott,et al.  Mucocele involving the anterior clinoid process: MR and CT findings. , 1999, AJNR. American journal of neuroradiology.

[10]  P. Som,et al.  Calcified sphenoid mucocele. , 1990, Archives of otolaryngology--head & neck surgery.

[11]  J. Horton,et al.  MR imaging of mucoceles of the sphenoid sinus. , 1989, AJNR. American journal of neuroradiology.

[12]  A. Osborn,et al.  Mucocele of the petrous temporal bone. , 1979, AJR. American journal of roentgenology.

[13]  R. Gacek,et al.  Mucocele of the petrous apex , 1979, The Journal of Laryngology & Otology.