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Surg Neurol Int. 2013 May 9;4:63. doi: 10.4103/2152-7806.111583. Print 2013.

Anterior clinoid mucocele presenting with orbital apex syndrome.

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1
Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA.

Abstract

BACKGROUND:

Pneumatized anterior clinoid process is a common anatomic variant. Mucocele formation is a known complication of clinoid drilling during certain intracranial operations; however, mucoceles of pneumatized anterior clinoid processes have been found to spontaneously occur.

CASE DESCRIPTION:

A 44-year-old male presented with complaints of left-sided retro-orbital pain, double vision, and numbness over the upper face and scalp on the left side of 1-week duration. On examination, he was found to develop cranial nerve III, IV, and VI palsies with pupillary sparing, ophthalmic division cranial nerve V dysfunction, and eventually, the onset of vision loss.

CONCLUSIONS:

We report a case of spontaneous anterior clinoid process mucocele presenting with orbital apex syndrome. This was treated successfully with anterior clinoidectomy for decompression.

KEYWORDS:

Anterior clinoid process; mucocele; orbital apex syndrome

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