Anterior clinoidal mucocele causing optic neuropathy: resolution with nonsurgical therapy. Case report

J Neurosurg. 2007 Jun;106(6):1091-3. doi: 10.3171/jns.2007.106.6.1091.


The rare occurrence of an inflammatory mucocele in a pneumatized anterior clinoid process is described. The patient, a 20-year-old woman, presented with a severe visual field defect in her right eye associated with abnormality in the right anterior clinoid process identified on computed tomography and magnetic resonance imaging. Initially, surgical intervention was recommended for resection of a possible neoplasm. The patient's clinical history, however, was significant for sinusitis accompanied by sore throat and right ear infection that resolved with oral antibiotic therapy. When her condition was evaluated approximately 1 month after the onset of her visual symptoms, the patient had regained full visual acuity in the affected eye. Surgical exploration was not required, and the patient's optic neuropathy reversed with appropriate antibiotic therapy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Mucocele / complications*
  • Mucocele / drug therapy*
  • Optic Neuropathy, Ischemic / drug therapy*
  • Optic Neuropathy, Ischemic / etiology*
  • Sinusitis / etiology
  • Sinusitis / therapy
  • Tomography, X-Ray Computed
  • Vision Tests
  • Visual Fields / physiology


  • Anti-Bacterial Agents