Wang Anthony C, Than Khoi D, Ramnath Suresh, Pandey Aditya S
Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA.
Surg Neurol Int. 2013 May 9;4:63. doi: 10.4103/2152-7806.111583. Print 2013.
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.
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.
We report a case of spontaneous anterior clinoid process mucocele presenting with orbital apex syndrome. This was treated successfully with anterior clinoidectomy for decompression.
气化型前床突是一种常见的解剖变异。黏液囊肿形成是某些颅内手术中床突钻孔的已知并发症；然而，已发现气化型前床突的黏液囊肿可自发发生。
一名44岁男性，主诉左侧眶后疼痛、复视以及左侧上脸和头皮麻木，持续1周。检查发现，他出现了动眼神经、滑车神经和展神经麻痹，瞳孔未受累，三叉神经眼支功能障碍，最终出现视力丧失。
我们报告了一例表现为眶尖综合征的自发性前床突黏液囊肿病例。通过前床突切除术减压成功治疗。
