Deshmukh Sameer, DeMonte Franco
Department of Neurosurgery, University of Texas, M. D. Anderson Cancer Center, Houston, Texas 77030, USA.
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.
本文描述了一例发生于气化型前床突的罕见炎性黏液囊肿。患者为一名20岁女性，右眼出现严重视野缺损，计算机断层扫描和磁共振成像显示右前床突异常。最初，建议手术干预以切除可能的肿瘤。然而，患者的临床病史显示有鼻窦炎伴咽痛和右耳感染，经口服抗生素治疗后症状缓解。在视觉症状出现约1个月后对其病情进行评估时，患眼视力已完全恢复。无需进行手术探查，患者的视神经病变经适当的抗生素治疗后得以逆转。
