{
  "abstract": "A male patient in his mid-30s presented with progressive right eye proptosis and vision loss, accompanied by retro-orbital and occipital pain. He had a history of skull base trauma and endoscopic repair for cerebrospinal fluid rhinorrhoea 7 years earlier. Imaging revealed a lesion adjacent to a cribriform plate defect, initially suggesting a non-expanding meningocele. However, intraoperatively, the lesion was identified as a spheno-ethmoidal mucocele with orbital extension. Endoscopic drainage and marsupialisation were performed, resulting in immediate resolution of proptosis and marked improvement in visual acuity. Follow-up imaging showed no residual lesion or optic nerve compression. This case illustrates a rare spheno-ethmoidal mucocele presenting as compressive optic neuropathy, emphasising the need for a broad differential diagnosis and multidisciplinary collaboration when evaluating skull base lesions.",
  "authors": [
    {
      "affiliations": [
        "Otorhinolaryngology, Army Hospital Research and Referral, New Delhi, India"
      ],
      "name": "Varun Jerath"
    },
    {
      "affiliations": [
        "Otorhinolaryngology, Army Hospital Research and Referral, New Delhi, India"
      ],
      "name": "Sachu Jacob James"
    },
    {
      "affiliations": [
        "Neurosurgery, Army Hospital Research and Referral, New Delhi, India"
      ],
      "name": "Ajit Singh"
    },
    {
      "affiliations": [
        "Radiology, Army Hospital Research and Referral, New Delhi, India"
      ],
      "name": "Saurabh Maheshwari"
    }
  ],
  "title": "Imposter behind the eye: spheno-ethmoidal mucocele mimicking meningocele with compressive optic neuropathy",
  "uid": "4ac2e385-ba08-591c-ac0a-9f9acc800efa"
}