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Fibrous Dysplasia of Paranasal Sinuses with Anterior Skull-base Extension Presenting with Pneumocephalus; a Case Report

Overview
Journal Heliyon
Specialty Social Sciences
Date 2024 Jul 25
PMID 39050473
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Abstract

Background: Fibrous dysplasia is a benign fibro-osseous lesion where normal bone is replaced with immature dysplastic woven bone and fibrous tissue. Fibrous dysplasia has the potential to involve multiple bones of the craniofacial area in a rare condition. Management of this involvement type should be assessed carefully.

Case Report: Here, we report a 52-year-old man with progressive and bilateral frontal headache. The radio/pathologic diagnosis revealed fibrous dysplasia of paranasal sinuses with anterior skull-base extension and pneumocephalus. The patient underwent a craniotomy, and 2 weeks after the procedure, the symptoms were alleviated without any complications.

Conclusion: in case of fibrous dysplasia, patients with new onset and/or mild symptoms may have extensive lesions in multiple craniofacial bones.

References
1.
Wirth T . [Fibrous dysplasia]. Orthopade. 2020; 49(10):929-940. DOI: 10.1007/s00132-020-03984-8. View

2.
Happle R . The McCune-Albright syndrome: a lethal gene surviving by mosaicism. Clin Genet. 1986; 29(4):321-4. DOI: 10.1111/j.1399-0004.1986.tb01261.x. View

3.
Chong V, Khoo J, Fan Y . Fibrous dysplasia involving the base of the skull. AJR Am J Roentgenol. 2002; 178(3):717-20. DOI: 10.2214/ajr.178.3.1780717. View

4.
Lee J, FitzGibbon E, Chen Y, Kim H, Lustig L, Akintoye S . Clinical guidelines for the management of craniofacial fibrous dysplasia. Orphanet J Rare Dis. 2012; 7 Suppl 1:S2. PMC: 3359960. DOI: 10.1186/1750-1172-7-S1-S2. View

5.
Nkie V, Martin S . Fibrous Dysplasia of the Clivus: Case Report and Literature Review. Cureus. 2023; 15(9):e45417. PMC: 10581508. DOI: 10.7759/cureus.45417. View