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Optic nerve compression due to aneurysmal bone cyst.

R D Yee, D G Cogan, T R Thorp

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |December 1, 1977
    PubMed
    Summary
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    Aneurysmal bone cysts can cause vision loss by compressing optic nerves. Surgical removal of the sinus mass restored the 10-year-old patient's vision, indicating a good prognosis.

    Area of Science:

    • Ophthalmology
    • Neurosurgery
    • Pathology

    Background:

    • Aneurysmal bone cysts (ABCs) are rare, benign, expansile bone lesions.
    • They typically occur in long bones and vertebrae, rarely involving cranial bones.

    Observation:

    • A 10-year-old boy presented with bilateral central vision loss.
    • Ophthalmic examination revealed optic nerve compression due to a mass in the sphenoid and ethmoid sinuses.

    Findings:

    • Histopathology confirmed the mass as an aneurysmal bone cyst, characterized by a fibrous matrix with vascular channels.
    • Following partial surgical excision of the intracranial and extracranial components, the patient experienced significant visual recovery.

    Implications:

    • This case highlights that aneurysmal bone cysts, though rare, can manifest with ocular symptoms due to cranial involvement.

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  • The benign nature of ABCs suggests a favorable prognosis for both vision and survival after appropriate management.