Anterior clinoid mucocele causing sudden unilateral visual impairment treated with transnasal endoscopic decompression.
Mark PAUL1, Serjitsjruup Kaur JUDGE1, Santhi KALIMUTHU1, Chitra Banu GEORGE1, Abdul Fattah ABDUL WAHAB2
1Department of Otorhinolaryngology of Hospital Tengku Ampuan Rahimah, 41200, Klang, Selangor, Malaysia.
2Department of Otorhinolaryngology, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur.
ABSTRACT
Mucoceles of the anterior clinoid process are very rare (1%). Enlarging mucoceles of the anterior clinoid process can cause pressure symptoms of surrounding structures. We reported a case of a 53 years old gentleman who presented with acute spontaneous progressive monocular vision loss and left frontal headache. His left eye had only light perception at initial presentation. Magnetic resonance imaging revealed an anterior clinoid process mucocele impinging the left optic nerve. The mucocele was successfully decompressed via a transnasal endoscopic approach. However, his left eye vision remained poor despite the surgical decompression of the optic nerve. Delayed detection and advanced age are inaugurally identified as poor prognostic features for this pathology.
KEYWORDS: Mucocele; Optic Neuritis; Transanal Endoscopic Surgery; Vision, Monocular.
Correspondence: Dr. Mark Paul (MBBS), Department of Otorhinolaryngology of Hospital Tengku Ampuan Rahimah, 41200, Klang, Selangor, Malaysia. Phone: +60163488438
Email address: markpaul3288@gmail.com
Brunei Int Med J. 2018;14:174-177