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Anterior clinoid mucocele causing acute monocular blindness
Author(s) -
Thurtell Matthew J,
Besser Michael,
Halmagyi G Michael
Publication year - 2007
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/j.1442-9071.2007.01569.x
Subject(s) - medicine , mucocele , optic canal , optic nerve , optic neuritis , optic neuropathy , surgery , lesion , magnetic resonance imaging , ophthalmology , radiology , multiple sclerosis , psychiatry
A bstract We report a patient who presented with acute painful monocular visual loss reminiscent of idiopathic optic neuritis. After treatment with corticosteroids was commenced, an anterior clinoid mucocele causing compressive optic neuropathy was demonstrated on imaging studies. The diagnosis was proven histopathologically following excision of the lesion via craniotomy. Although very rare as a cause of optic neuropathy, anterior clinoid mucocele should be excluded by adequately imaging the optic canal, as visual prognosis is poor if surgical decompression is not performed in a timely fashion.

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