Symptomatic cranial fibrous dysplasias: clinico-radiological analysis in a series of eight operative cases with follow-up results

Sharma, Rewati Raman; Mahapatra, Ashok Kumar; Pawar, Sanjay J.; Lad, Santosh D.; Athale, Sanjeev D.; Musa, Mohammed M.

doi:10.1054/jocn.2002.1056

Cited by 26 publications

(22 citation statements)

References 27 publications

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“…However, in exceptional case, it continues to grow even after this period, and it is unclear under what kind of conditions this growth continues 17) . Furthermore, update report did not find presentation in adulthood to be rare, because 39-50% of patients in that series became symptomatic during adulthood 1,6,9) .…”

Section: Discussionmentioning

confidence: 99%

“…A localized painless expansion of the skull on one side is the commonest difference noted first by patients with craniofacial FD 14,24) . This bone swelling can lead to intracranial extension and central neurological manifestations, neurovascular entrapment, orbito-sino-nasal obstruction, recurrent sinusitis, epiphora, proptosis, malocclusion, and cosmetic deformity 3,5,17,25) . On involvement of basal cranium by FD, compressive cranial neuropathy that mainly affect the facial, auditive, trigeminal, olfactory, and visual function occurs from thickening and narrowing of neural canals and foramina 1,2,9,16,18) .…”

Section: Discussionmentioning

confidence: 99%

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Fibrous Dysplasia of the Clivus

Kim

2010

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 48 : [441][442][443][444] 2010 Fibrous dysplasia (FD) of craniofacial structures is well documented, however, its involvement of the clivus is seldom described. We report a case of clival FD in a young man who presented with headache localized to the occipital area. The radiological studies revealed a monostotic disease confined to the clivus, with typical findings of hypointensity on magnetic resonance images and ground-glass density on computed tomography. The diagnosis of FD was confirmed on pathological examination of specimens taken through transsphenoidal surgery. The patient showed reduction of symptoms and no change of residual lesion on follow-up imaging taken 2.5 years later after surgery. This study includes clinical aspect, radiographic appearance, differential diagnosis and treatment strategy of this rare skull base lesion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fibrous Dysplasia of the Clivus

Kim

2010

J Korean Neurosurg Soc

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“…Criteria for study population inclusion were histopathologic diagnosis of CFD, radiologically confirmed optic canal narrowing, pre-and post-treatment visual status (based on visual fields and visual acuity), and .4 months of follow-up. The included studies are listed in Tables S1, S2, S3 (supplementary material) [8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33]. Follow-up included periodic (6-12 months) radiological imaging with CT and MRI as well as ophthalmologic exams.…”

Section: Participantsmentioning

confidence: 99%

Surgery versus Watchful Waiting in Patients with Craniofacial Fibrous Dysplasia: A Meta-Analysis

Amit¹,

Collins²,

FitzGibbon³

et al. 2012

J Neurol Surg B

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Background: Fibrous dysplasia (FD) is a benign bone tumor which most commonly involves the craniofacial skeleton. The most devastating consequence of craniofacial FD (CFD) is loss of vision due to optic nerve compression (ONC). Radiological evidence of ONC is common, however the management of this condition is not well established. Our objective was to compare the long-term outcome of patients with optic nerve compression (ONC) due to craniofacial fibrous dysplasia (CFD) who either underwent surgery or were managed expectantly.

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“…It comprises 2.5% of all osseous & 7% of all benign bone tumors [5] . In general they affect 1 in 4,000 to 10,000 individuals [3] . Male to female ratio is equal [1,3] .…”

Section: Introduction:-mentioning

confidence: 99%

“…In 1938, Lichtenstein and Jaffe first introduced the term Fibrous Dysplasia [1,3] . Fibrous dysplasia (FD) is an uncommon developmental bone disease of benign origin.…”

Section: Introduction:-mentioning

confidence: 99%