2009
DOI: 10.1093/ndtplus/sfp115
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Ectopic ossification in the cranial dura mater in dialysis patients with secondary hyperparathyroidism

Abstract: We report the case of a 69-year-old woman with secondary hyperparathyroidism who underwent maintenance haemodialysis therapy for 17 years and who presented with severe dural calcification and right subdural haematoma. Her dura mater displayed a rock barnacle-like appearance, and cerebral superficial arteries adhered to the sclerotic lesions. On the microscopic observation, calcified tissue with a clear lamellar structure and osteopontin immunoreactivity was observed. Tartrate-resistant acid phosphatase immunor… Show more

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Cited by 2 publications
(2 citation statements)
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“…At this point, it is postulated that this tissue formation is either in response to irritation of the dura mater or is a result of bone re-growth. The initiation of the connective tissue growth from the center of the craniotomy in some of the control cases was not unexpected, as the formation of “bony islands” in the center of cranial defects has been reported by several groups studying bone regeneration (Aronin et al, 2010; Levi et al, 2011; Oyama et al, 2010; Sohn et al, 2010). Additional histological studies comparing tissue re-growth in animals implanted with control windows to that in animals with no windows implanted may be useful in determining the extent of the tissue response that can be attributed to the presence of the cranial window.…”
Section: Discussionmentioning
confidence: 61%
“…At this point, it is postulated that this tissue formation is either in response to irritation of the dura mater or is a result of bone re-growth. The initiation of the connective tissue growth from the center of the craniotomy in some of the control cases was not unexpected, as the formation of “bony islands” in the center of cranial defects has been reported by several groups studying bone regeneration (Aronin et al, 2010; Levi et al, 2011; Oyama et al, 2010; Sohn et al, 2010). Additional histological studies comparing tissue re-growth in animals implanted with control windows to that in animals with no windows implanted may be useful in determining the extent of the tissue response that can be attributed to the presence of the cranial window.…”
Section: Discussionmentioning
confidence: 61%
“…Regarding susceptibility to pathological calcification, Oyama et al [ 42 ] reported a case of ectopic ossification in the cranial dura mater in a dialysis patient with secondary hyperparathyroidism. In this case, significant calcification was only noted at the tentorium cerebelli and falx cerebri, while the dura mater of the convexity was free from pathological calcification.…”
Section: Diversity In the Classifications Of Davfsmentioning
confidence: 99%