Posterior ethmoid mucocele simulating optic neuritis: Case report

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.26431

Keywords:

Mucocele; Optic Neuritis; Blindness; Therapeutics.

Abstract

Mucoceles are cystic formations that can occur in different topographies in the nasal cavity, especially in the region of the frontal sinus and ethmoid cells, leading to a clinic due to its local compressive effect and presents surgery as the main form of therapeutic management. The objective of this case report is to describe the clinical picture of a young male with a mucocele in the region of posterior ethmoid cells who opened his symptom clinic simulating the findings of an optic neuritis, leading to a clinic of visual loss on the side right. After the initial treatment with corticosteroids did not show clinical results, the imaging exam was able to identify the classic radiological description of a mucocele, transforming the diagnosis and treatment of the patient. In conclusion, it is suggested that the case presented is a reference in the process of building diagnostic hypotheses within a thought in optic neuritis, always raising the need to think about mucocele, and we reiterate that the surgical treatment is the choice in the management of these patients.

References

Aggarwal, S. K., Bhavana, K., Keshri, A., Kumar, R., & Srivastava, A. (2012). Frontal sinus mucocele with orbital complications: Management by varied surgical approaches. Asian journal of neurosurgery, 7(3), 135–140. https://doi.org/10.4103/1793-5482.103718.

Bedaque & Bezerra. (2018). Descomplicando MBE: Uma abordagem prática da medicina baseada em evidências. [free e-book]. Natal/RN. Ed. Caule de Papiro.

Bennett, J. L. (2019). Optic Neuritis. Continuum: lifelong learning in neurology, 25(5), 1236-1264. https://doi.org/doi:10.1212/CON.0000000000000768.

Capra, G. G., Carbone, P. N., & Mullin, D. P. (2012). Paranasal sinus mucocele. Head and neck pathology, 6(3), 369–372. https://doi.org/10.1007/s12105-012-0359-2.

Chang, E. L., & Bernardino, C. R. (2004). Update on orbital trauma. Current opinion in ophthalmology, 15(5), 411–415. https://doi.org/10.1097/01.icu.0000137854.37950.fb.

Dzhambazov, K. B., Kitov, B.D., Zhelyazkov, H. B., Traykova, N. I., Kehayov, I. I., Kitova T. T., (2018). Mucocele of the Paranasal Sinuses - Retrospective Analysis of a Series of Seven Cases. Folia Med (Plovdiv). 60(1):147‐153. doi:10.1515/folmed-2017-0077.

Gise, R. A., & Heidary, G. (2020). Update on Pediatric Optic Neuritis. Current neurology and neuroscience reports, 20(3), 4. https://doi.org/10.1007/s11910-020-1024-x.

Kim, J. S., Kim, E. J., Kwon, S. H., (2017). An ethmoid mucocele causing diplopia: A case report. Medicine (Baltimore). 96(50):e9353. doi:10.1097/MD.0000000000009353.

Lajmi, H., Hmaied, W., Ben Jalel, W., Ben Romdhane, K., Chelly, Z., El Fekih, L, (2017). Unilateral proptosis revealing a fronto-ethmoidal mucocele. Tunis Med. 95(6):449‐451.

Liu, X., Wang, X., Wen, J., Liu, C., Cai, Y., Feng, Y., & He, C. (2015). Lin chuang er bi yan hou tou jing wai ke za zhi. Journal of clinical otorhinolaryngology, head, and neck surgery, 29(21), 1850–1852.

Manaka, H., Tokoro, K., Sakata, K., Ono, A., & Yamamoto, I. (1998). Intradural extension of mucocele complicating frontoethmoid sinus osteoma: case report. Surgical neurology, 50(5), 453–456. https://doi.org/10.1016/s0090-3019(97)00162-6.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.

Risheim, H., & Sneve, M. (2014). Bleeding behind the eye. Tidsskr Nor Legeforen, 134(14), 1854. https://doi.org/10.4045/tidsskr.13.0712.

Roncone D. P. (2020). Frontoethmoidal mucocele presenting with ocular manifestations. Clinical & experimental optometry, 103(5), 610–617. https://doi.org/10.1111/cxo.13006.

Santos, P., Chihara, L. L., Alcalde, L., Masalskas, B. F., Sant'Ana, E., & Faria, P. (2017). Outcomes in Surgical Treatment of Mucocele in Frontal Sinus. The Journal of craniofacial surgery, 28(7), 1702–1708.

Simões, J. C., Nogueira-Neto, F. B., Gregório, L. L., Caparroz, F. D. A., & Kosugi, E. M. (2015). Perda visual: complicação rara de mucocele de seio maxilar. Brazilian Journal of Otorhinolaryngology, 81(4), 451-453.

Thompson L. D. (2012). Paranasal sinus mucocele. Ear, nose, & throat journal, 91(7), 276–278.

Toosy, A. T., Mason, D. F., & Miller, D. H. (2014). Optic neuritis. The Lancet. Neurology, 13(1), 83–99. https://doi.org/10.1016/S1474-4422(13)70259-X.

Vicente, A. O., Chaves, A. G., Takahashi, E. N., Akaki, F., Sampaio, A. A., & Matsuyama, C., (2004). Mucocele frontoetmoidal: relato de casos e revisão da literatura. Revista Brasileira de Otorrinolaringologia, 70(6), 850-854. https://doi.org/10.1590/S0034-72992004000600026.

Wilhelm, H., & Schabet, M. (2015). The Diagnosis and Treatment of Optic Neuritis. Deutsches Arzteblatt international, 112(37), 616–626. https://doi.org/10.3238/arztebl.2015.0616.

Published

21/02/2022

How to Cite

BEDAQUE, H. de P. .; ARAÚJO, A. B. S. S. de; AQUINO, B. C. V. de; BRITO, P. S. de M.; LIMA, B. T.; LANA, F. P. Posterior ethmoid mucocele simulating optic neuritis: Case report. Research, Society and Development, [S. l.], v. 11, n. 3, p. e27111326431, 2022. DOI: 10.33448/rsd-v11i3.26431. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/26431. Acesso em: 15 jun. 2024.

Issue

Section

Health Sciences