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Anterior clinoid mucocoele presenting as progressive fluctuating visual loss mimicking inflammatory optic neuropathy

Optic nerve lesions usually produce monocular visual loss, and in compressive optic neuropathies, gradual vision loss is the more usual presentation. Mucocele in the anterior clinoid process is a rare cause of compressive optic neuropathy that can lead to monocular visual loss. A 19-year-old Sri Lan...

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Autores principales: Herath, H. M. M. T. B, Alahakoon, A. M. B. D., Mohideen, M. S., Chandrakumara, A. A. R., Senanayaka, S., Goonarathne, I. K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486029/
https://www.ncbi.nlm.nih.gov/pubmed/34667939
http://dx.doi.org/10.4103/1319-4534.325783
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author Herath, H. M. M. T. B
Alahakoon, A. M. B. D.
Mohideen, M. S.
Chandrakumara, A. A. R.
Senanayaka, S.
Goonarathne, I. K.
author_facet Herath, H. M. M. T. B
Alahakoon, A. M. B. D.
Mohideen, M. S.
Chandrakumara, A. A. R.
Senanayaka, S.
Goonarathne, I. K.
author_sort Herath, H. M. M. T. B
collection PubMed
description Optic nerve lesions usually produce monocular visual loss, and in compressive optic neuropathies, gradual vision loss is the more usual presentation. Mucocele in the anterior clinoid process is a rare cause of compressive optic neuropathy that can lead to monocular visual loss. A 19-year-old Sri Lankan girl presented with progressive, painless fluctuating right-sided monocular visual loss over 1-year duration. On presentation, right side visual acuity was 6/60 and fundoscopy revealed pale disk on the right side. Ocular tomography showed right-sided temporal retinal thinning. Magnetic resonance imaging revealed right anterior clinoid process mucocele causing compression and kinking of the right optic nerve. Because the right side, optic disc was already pale and retina was thinned, we decided to manage conservatively. Early imaging in compressive optic neuropathy is useful for the diagnosis and early neurosurgical intervention. Delaying the diagnosis can lead to permanent visual loss.
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spelling pubmed-84860292021-10-18 Anterior clinoid mucocoele presenting as progressive fluctuating visual loss mimicking inflammatory optic neuropathy Herath, H. M. M. T. B Alahakoon, A. M. B. D. Mohideen, M. S. Chandrakumara, A. A. R. Senanayaka, S. Goonarathne, I. K. Saudi J Ophthalmol Case Report Optic nerve lesions usually produce monocular visual loss, and in compressive optic neuropathies, gradual vision loss is the more usual presentation. Mucocele in the anterior clinoid process is a rare cause of compressive optic neuropathy that can lead to monocular visual loss. A 19-year-old Sri Lankan girl presented with progressive, painless fluctuating right-sided monocular visual loss over 1-year duration. On presentation, right side visual acuity was 6/60 and fundoscopy revealed pale disk on the right side. Ocular tomography showed right-sided temporal retinal thinning. Magnetic resonance imaging revealed right anterior clinoid process mucocele causing compression and kinking of the right optic nerve. Because the right side, optic disc was already pale and retina was thinned, we decided to manage conservatively. Early imaging in compressive optic neuropathy is useful for the diagnosis and early neurosurgical intervention. Delaying the diagnosis can lead to permanent visual loss. Wolters Kluwer - Medknow 2021-09-09 /pmc/articles/PMC8486029/ /pubmed/34667939 http://dx.doi.org/10.4103/1319-4534.325783 Text en Copyright: © 2021 Saudi Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Herath, H. M. M. T. B
Alahakoon, A. M. B. D.
Mohideen, M. S.
Chandrakumara, A. A. R.
Senanayaka, S.
Goonarathne, I. K.
Anterior clinoid mucocoele presenting as progressive fluctuating visual loss mimicking inflammatory optic neuropathy
title Anterior clinoid mucocoele presenting as progressive fluctuating visual loss mimicking inflammatory optic neuropathy
title_full Anterior clinoid mucocoele presenting as progressive fluctuating visual loss mimicking inflammatory optic neuropathy
title_fullStr Anterior clinoid mucocoele presenting as progressive fluctuating visual loss mimicking inflammatory optic neuropathy
title_full_unstemmed Anterior clinoid mucocoele presenting as progressive fluctuating visual loss mimicking inflammatory optic neuropathy
title_short Anterior clinoid mucocoele presenting as progressive fluctuating visual loss mimicking inflammatory optic neuropathy
title_sort anterior clinoid mucocoele presenting as progressive fluctuating visual loss mimicking inflammatory optic neuropathy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486029/
https://www.ncbi.nlm.nih.gov/pubmed/34667939
http://dx.doi.org/10.4103/1319-4534.325783
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