Optic Nerve Sheath Meningocele

A case report and review of the literature

Authors

  • Ilson Sepúlveda Aguilar Radiology Department, Otorhinolaryngology and Maxillofacial Services, General Hospital of Concepción, Chile
  • Francisco Rivas-Rodriguez Radiology Department, Division of Neuroradiology, University of Michigan Health System, Ann Arbor, MI, USA https://orcid.org/0009-0008-7025-2760 (unauthenticated)

DOI:

https://doi.org/10.59667/sjoranm.v27i1.16

Keywords:

Optic nerve, Sheath, Meningocele, CT, MRI

Abstract

Optic nerve sheath meningocele is a rare dilatation of the perioptic cerebrospinal fluid space. A 16-year-old patient presented with painless right proptosis. CT showed a well-defined hypodense lesion in the right intraconal orbit with displacement of the extraocular muscles and no bone erosion. MRI showed a 19 × 23 × 21 mm lesion closely related to the optic nerve, with cerebrospinal fluid signal characteristics, no appreciable enhancement and anterior displacement of the globe. The imaging findings were consistent with an optic nerve sheath meningocele.

References

Morello A, Bianconi A, Cogoni M, Borgarello S, Garbossa D, Micon BM. Bilateral idiopathic optic nerve sheath meningocele: A case report and literature review. J Neurosci Rural Pract. 2022 Oct-Dec;13(4):781-784. Epub 2022 Nov 2. PMID: 36743743; PMCID: PMC9894007. https://doi.org/10.25259/JNRP_5_2022 DOI: https://doi.org/10.25259/JNRP_5_2022

Catalán-Coronado S, Parrado-Carrillo A, Nogués-Castell J, Rosinés-Fonoll J, Camós-Carreras A, Alcubierre R, Carrión-Donderis MT, Bernal-Morales C, Sánchez-Dalmau B. Case report: Bilateral optic nerve sheath meningocele: clinical aspects. Front Ophthalmol (Lausanne). 2024 May 8;4:1385485. PMID: 38984125; PMCID: PMC11182330. https://doi.org/10.3389/fopht.2024.1385485 DOI: https://doi.org/10.3389/fopht.2024.1385485

Mesa-Gutiérrez JC, Quiñones SM, Ginebreda JA. Optic nerve sheath meningocele. Clin Ophthalmol. 2008 Sep;2(3):661-8. PMID: 19668771; PMCID: PMC2694015. https://doi.org/10.2147/opth.s2689 DOI: https://doi.org/10.2147/OPTH.S2689

Algarni M, Maralani PJ, Sundaram AN. Optic nerve sheath meningocele. Int Med Case Rep J. 2018 Sep 10;11:213-215. PMID: 30237744; PMCID: PMC6136404. https://doi.org/10.2147/IMCRJ.S166655 DOI: https://doi.org/10.2147/IMCRJ.S166655

Chaves MRGD, Queiroga IBW, Chaves MAPD, Gadelha FM, Vieira DA. Retro-orbital tumor suggestive of optic nerve sheath meningocele. Rev Bras Oftalmol. 2015;74(4):248-50. https://doi.org/10.5935/0034-7280.20150051 DOI: https://doi.org/10.5935/0034-7280.20150051

Meher, Ravi, Anoop Raj, Pankaj Vats, Deepti Vats, S Dadeya and Ashok Kumar Gupta. Endoscopic Management of Optic Nerve Sheath Meningocele. Clinical Rhinology An International Journal (2009): 63-65. https://doi.org/10.5005/jp-journals-10013-1015 DOI: https://doi.org/10.5005/jp-journals-10013-1015

Lunardi P, Farah JO, Ruggeri A, Nardacci B, Ferrante L, Puzzilli F. Surgically verified case of optic sheath nerve meningocele: case report with review of the literature. Neurosurg Rev. 1997;20(3):201-205. https://doi.org/10.1007/BF01105565 DOI: https://doi.org/10.1007/BF01105565

Garrity JA, Trautmann JC, Bartley GB, et al. Optic nerve sheath meningoceles. Clinical and radiographic features in 13 cases with a review of the literature. Ophthalmology. 1990;97(11):1519-1531. https://doi.org/10.1016/S0161-6420(90)32382-5 DOI: https://doi.org/10.1016/S0161-6420(90)32382-5

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Published

2026-01-30

Data Availability Statement

Not applicable

Issue

Vol. 27 No. 1 (2026)

Section

Case reports

License

Copyright (c) 2026 Ilson Sepúlveda Aguilar, Francisco Rivas-Rodriguez

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This license requires that reusers give credit to the creator. It allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, even for commercial purposes.

How to Cite

Sepúlveda Aguilar, I., & Rivas-Rodriguez, F. (2026). Optic Nerve Sheath Meningocele: A case report and review of the literature. Swiss Journal of Radiology and Nuclear Medicine, 27(1), 29-32. https://doi.org/10.59667/sjoranm.v27i1.16

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