Fibrous dysplasia involving sphenoid and occipital bone: one case report and literature review.
- Author:
Jun LIU
1
;
Weijia KONG
;
Yanjun WANG
;
Yang YANG
;
Yanping YU
;
Yuanyuan WU
Author Information
1. Department of Otolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
- Publication Type:Case Reports
- MeSH:
Adult;
Fibrous Dysplasia, Polyostotic;
diagnosis;
diagnostic imaging;
pathology;
Humans;
Male;
Occipital Bone;
Radiography;
Sphenoid Bone
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2008;22(20):941-943
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study the clinical manifestation, radiograph features, pathology, diagnosis and treatment of fibrous dysplasia in cranial bone.
METHOD:A case of fibrous dysplasia involving sphenoid and occipital is reported and literature were reviewed.
RESULT:The most common complaint were headache, proptosis, diplopia, or visual changes. Distinguishing features of fibrous dysplasia on CT include "ground-glass" appearance, bone fiber anisotrophy, aneurysmal bone cyst formation and thickness of the cranial cortices. Fibrous dysplasia could be exactly diagnosed by pathology. Computed tomography was also a choice for diagnosis.
CONCLUSION:Fibrous dysplasia involving the cranial bone can present in myriad ways. Modern imaging modalities and histopathologic analysis is required to make accurate diagnosis. Surgery, particularly in a challenging region such as sphenoid and occipital bone, should preserve the existing function for the patients with functional impairment or a cosmetic deformity.