|کد مقاله||کد نشریه||سال انتشار||مقاله انگلیسی||ترجمه فارسی||نسخه تمام متن|
|5627960||1406360||2017||3 صفحه PDF||سفارش دهید||دانلود کنید|
- Anterior clinoid mucocele should be considered as one the differential diagnosis for optic neuropathy.
- CT/MRI should be done as part of workup in patients presenting with acute onset optic neuropathy.
- Surgical decompression is recommended over medical management with antibiotics and/or steroids.
- The timely radiological diagnosis and immediate surgical decompression was crucial to achieve for full recovery of vision.
A 66Â year old Indian gentleman presented with a 3Â days history of headache and gradual progressive loss of vision in his eft eye, ophthalmological assessment showed no light perception in his left eye with papilledema and afferent papillary defect. Computed tomography (CT) and Magnetic Resonance Imaging (MRI) were done and showed an expanding lesion in the left anterior clinoid process encroaching upon the left orbital apex and optic nerve with features suggestive of a mucocele. Patient was started on dexamethasone, and urgent craniotomy was undertaken, where marsupialization and resection of left anterior clinoid mucocele was done, and histopathologic examination of the operative specimen was consistent with a mucocele. Post-operatively, patient was kept on dexamethasone for few days, with uneventful outcome, and his follow up at 6Â months showed complete recovery of his vision from no light perception to 6/12 in the affected eye.
Journal: eNeurologicalSci - Volume 7, June 2017, Pages 57-59