Diagnosis and Treatment of an Odontoid Fracture in a Patient with Polyostotic Fibrous Dysplasia: Case Report

Neurosurgery ◽  
1989 ◽  
Vol 24 (6) ◽  
pp. 905-909 ◽  
Author(s):  
Brett E. Stompro ◽  
John F. Alksne ◽  
Gary A. Press

ABSTRACT Fibrous dysplasia of the cervical spine is rare. No prior reports have discussed odontoid fractures in the setting of fibrous dysplasia. We describe a 26-year-old man who suffered a traumatic odontoid fracture in an area of preexisting fibrous dysplasia. The patient was treated conservatively in a sterno-occipito-mandibular immobilizer brace with a good result. A review of fibrous dysplasia is presented. Alternative methods of diagnosis and treatment options in our patient are discussed.

2008 ◽  
Vol 8 (3) ◽  
pp. 295-299 ◽  
Author(s):  
Johann Peltier ◽  
Michel Lefranc ◽  
Anthony Fichten ◽  
Carole Cordonnier ◽  
Patrick Toussaint ◽  
...  

✓The authors report the case of a 31-year-old man with polyostotic fibrous dysplasia who suffered a traumatic odontoid fracture in an area of a preexisting bone lesion. Conservative treatment was successfully performed. Jaffe–Lichtenstein disease is discussed along with differential diagnoses and alternative methods of treatment.


Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
Mirza Baig ◽  
David Dang ◽  
Gregory Christoforidis ◽  
Antonio Chiocca ◽  
Gabriel Josue

2011 ◽  
Vol 2 (6) ◽  
pp. 1239-1242 ◽  
Author(s):  
GUI-DONG LI ◽  
AKIRA OGOSE ◽  
TETSUO HOTTA ◽  
HIROYUKI KAWASHIMA ◽  
TAKASHI ARIIZUMI ◽  
...  

2019 ◽  
Vol 72 (1-2) ◽  
pp. 39-42
Author(s):  
Ivan Ergelasev ◽  
Ivan Kuhajda ◽  
Dejan Djuric ◽  
Danijela Kuhajda ◽  
Sinisa Maksimovic

Introduction. Fibrous dysplasia is a noninherited benign skeletal disorder associated with abnormal bone development. Single bone involvement, the monostotic form, accounts for 70 ? 80% of cases, while the polyostotic form, with multiple bone involvement, accounts for 20 ? 30% of cases. Cystic degeneration and occasional aneurysmal bone cyst formation may be found in fibrous dysplasia lesions, particularly in the costal lesions. Case Report. A 51-year-old man presented with acute shortness of breath after sustaining simple chest wall injury. Chest computed tomography showed multiple massive osteolytic rib lesions, as well as a massive left-sided pleural effusion with compression atelectasis of the lung parenchyma. Osteolytic lesions of the anterior 2nd and 7th thoracic vertebral body were found, along with a well defined osteolytic lesion in the body of the sternum. Video-assisted thoracoscopy of the left pleural space was performed and frozen sections, collected using endoscopic biopsy forceps of the cystic wall and solid parts of the tumors, were sent for ex tempore histopathological analysis. Results showed fibrous dysplasia with suspected malignancy. Talc pleurodesis was performed based on the obtained results. At present, the patient is asymptomatic with his daily routine uninterrupted by his medical condition. Conclusion. Treatment of pleural effusion caused by a cyst rupture of unresectable degenerated polyostotic fibrous dysplasia of the ribs represents a surgical challenge. Surgical drainage of the cysts followed by chemical pleurodesis seems to be a reasonable solution in cases where pulmonary functions are impacted by combined effects of pleural effusion and cystic compression.


2008 ◽  
Vol 87 (2) ◽  
pp. 81-85 ◽  
Author(s):  
Rodrigo Martinez ◽  
Jay B. Farrior

Fibrous dysplasia is a benign condition that can affect the skull and facial bones and cause a broad spectrum of otolaryngologic conditions. We present the case of a boy with polyostotic fibrous dysplasia with involvement of the temporal bone that was first diagnosed when he was 9 years old. His condition eventually became complicated by cholesteatoma and thrombophlebitis of the left transverse and sigmoid sinuses, and he died of his disease at the age of 19 years. We discuss these and other complications of fibrous dysplasia of the temporal bone and their management.


Neurosurgery ◽  
1999 ◽  
Vol 44 (6) ◽  
pp. 1342-1346 ◽  
Author(s):  
Juan J. Mezzadri ◽  
Claudia Gomez Acotto ◽  
Carlos Mautalen ◽  
Armando Basso

2007 ◽  
Vol 16 (S3) ◽  
pp. 250-254 ◽  
Author(s):  
David Dang ◽  
Mirza N. Baig ◽  
Greg Christoforidis ◽  
E. Antonio Chiocca ◽  
Joshue Gabriel

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