A mucopyocele of the clivus: Case report

Richard Chua, Scott Shapiro

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

OBJECTIVE AND IMPORTANCE: There are increasing reports of nasal sinus mucopyoceles eroding the base of the cranium and causing the rapid onset of neurological complications. Uncommon presentations can mimic tumors, but the infectious nature mandates an urgent surgical decompression. It is important to document these uncommon presentations. CLINICAL PRESENTATION: A mucopyocele of the clivus is reported in a patient with a frequent history of sinusitis. Diplopia caused by an acute sixth nerve palsy prompted the radiological diagnosis with computed tomography and magnetic resonance imaging. INTERVENTION: Transsphenoidal drainage of the lesion lead to marked improvement in the patient. CONCLUSION: This is the third reported case of a clival mucocele. Mucoceles of nasal sinuses can erode intracranially, causing neurological sequalae, and clival involvement is extremely rare. Early drainage leads to marked improvement.

Original languageEnglish (US)
Pages (from-to)589-591
Number of pages3
JournalNeurosurgery
Volume39
Issue number3
StatePublished - Sep 1 1996

Keywords

  • Clivus
  • Mucocele
  • Mucopyocele
  • Sphenoid sinus
  • Transsphenoidal surgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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