Bilateral compressive optic neuropathy secondary to sphenoid sinus mucocele mimicking bilateral retrobulbar neuritis

Sphenoid sinus mucoceles (SSMs) can rarely cause acute bilateral vision loss. We, hereby, report such a rare case of SSM in a 20-year-old female who presented with sudden onset bilateral diminution of vision. The best-corrected visual acuity was 20/400 in the right eye (RE) and hand movements in the...

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Detalles Bibliográficos
Autores principales: Deb, Amit K., Neena, Aswathi, Sarkar, Sandip, Devraj, Athira, Panicker, Gayathri, Stephen, A. Mary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9266473/
https://www.ncbi.nlm.nih.gov/pubmed/35814987
http://dx.doi.org/10.4103/1319-4534.347312
Descripción
Sumario:Sphenoid sinus mucoceles (SSMs) can rarely cause acute bilateral vision loss. We, hereby, report such a rare case of SSM in a 20-year-old female who presented with sudden onset bilateral diminution of vision. The best-corrected visual acuity was 20/400 in the right eye (RE) and hand movements in the left eye (LE). Both eyes had sluggish pupillary reactions. Both eyes had normal fundus. Initial treatment was started with a provisional diagnosis of bilateral retrobulbar neuritis, but imaging revealed a large SSM compressing bilateral optic nerves. The patient underwent urgent surgical decompression. Vision in RE improved to 20/20 and LE to 20/400. A high index of clinical suspicion for compressive lesions is needed in all cases of atypical optic neuritis.

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