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http://dx.doi.org/10.3340/jkns.2010.48.5.441

Fibrous Dysplasia of the Clivus  

Kim, Ealmaan (Division of Skull Base Surgery, Department of Neurosurgery, Keimyung University School of Medicine, Dongsan Medical Center)
Publication Information
Journal of Korean Neurosurgical Society / v.48, no.5, 2010 , pp. 441-444 More about this Journal
Abstract
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 hypo intensity 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.
Keywords
Skull base; Clivus; Fibrous dysplasia; Magnetic resonance imaging;
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1 Tsuyuguchi N, Ohata K, Morino M, Takami T, Goto T, Nishio A, et al. : Magnetic resonance imaging and [11C]methyl-L-methionine positron emission tomography of fibrous dysplasia--two case reports. Neurol Med Chir (Tokyo) 42 : 341-345, 2002   DOI   ScienceOn
2 Wei YT, Jiang S, Cen Y : Fibrous dysplasia of skull. J Craniofac Surg 21 : 538-542, 2010   DOI   ScienceOn
3 Zodpe P, Chung SW, Kang HJ, Lee SH, Lee HM : Endoscopic treatment of nasolacrimal sac obstruction secondary to fibrous dysplasia of paranasal sinuses. Eur Arch Otorhinolaryngol 264 : 495-498, 2007   DOI   ScienceOn
4 Machida K, Makita K, Nishikawa J, Ohtake T, Iio M : Scintigraphic manifestation of fibrous dysplasia. Clin Nucl Med 11 : 426-429, 1986   DOI
5 Maeda M, Kimura H, Tsuchida C, Ishii Y, Kubota T : MR imaging of monostotic fibrous dysplasia of the clivus. A case report. Acta Radiol 34 : 527-528, 1993   DOI   ScienceOn
6 Park YK, Yang MH, Choi WS, Lim YJ : Well-differentiated, low-grade osteosarcoma of the clivus. Skeletal Radiol 24 : 386-388, 1995
7 Riley GM, Greenspan A, Poirler VC : Fibrous dysplasia of a parietal bone. J Comput Assist Tomogr 21 : 41-43, 1997   DOI   ScienceOn
8 Sato K, Kubota T, Kaneda M, Kawano H, Kobayashi H : Fibrous dysplasia of the clivus. Surg Neurol 40 : 522-525, 1993   DOI   ScienceOn
9 Selmani Z, Aitasalo K, Ashammakhi N : Fibrous dysplasia of the sphenoid sinus and skull base presents in an adult with localized temporal headache. J Craniofac Surg 15 : 261-263, 2004   DOI   ScienceOn
10 Singh N, Abou-Zeid A, King A, du Plessis D, Gnanalingham K : Endoscopic transsphenoidal surgery for isolated fibrous dysplasia of the clivus. Minim Invasive Neurosurg 52 : 190-192, 2009   DOI   ScienceOn
11 Sirvanci M, Karaman K, Onat L, Duran C, Ulusoy OL : Monostotic fibrous dysplasia of the clivus: MRI and CT findings. Neuroradiology 44 : 847-850, 2002   DOI   ScienceOn
12 Srinivas N, DeLong SR, Amilineni VK : Monostotic fibrous dysplasia of the sphenoid sinus : a serendipitous finding on a bone scan. Clin Nucl Med 25 : 477-479, 2000   DOI   ScienceOn
13 Tehranzadeh J, Fung Y, Donohue M, Anavim A, Pribram HW : Computed tomography of Paget disease of the skull versus fibrous dysplasia. Skeletal Radiol 27 : 664-672, 1998   DOI   ScienceOn
14 Contratti F, Menniti A, Fraioli MF, Fraioli B : Fibrous dysplasia of the clivus with a second T8 bone lesion: case report. Surg Neurol 65 : 202-205; discussion 205-206, 2006   DOI   ScienceOn
15 Adada B, Al-Mefty O : Fibrous dysplasia of the clivus. Neurosurgery 52 : 318-322; discussion 323, 2003   DOI   ScienceOn
16 Atalar M, Ozum U : Monostotic fibrous dysplasia of the clivus: imaging findings. Turk Neurosurg 20 : 77-81, 2010
17 Buyuklu F, Tarhan E, Cakmak O, Ozgirgin N, Arikan U : Isolated fibrous dysplasia of the sphenoid sinus. Rhinology 43 : 309-312, 2005
18 Gonçalves MB, Siqueira SB, Christoph DH, Klescoski J, Melo MH, Landeiro JA : Monostotic fibrous dysplasia of the clivus: image-guided endoscopic endonasal transsphenoidal surgery. Minim Invasive Neurosurg 53 : 37-39, 2010   DOI   ScienceOn
19 Iseri PK, Efendi H, Demirci A, Komsuoglu S : Fibrous dysplasia of the cranial bones : a case report and review of the literature. Yale J Biol Med 78 : 141-145, 2005
20 Itshayek E, Spector S, Gomori M, Segal R : Fibrous dysplasia in combination with aneurysmal bone cyst of the occipital bone and the clivus : case report and review of the literature. Neurosurgery 51 : 815-817; discussion 817-818, 2002   DOI
21 Khalil HS, Toynton S, Steventon N, Adams W, Gibson J : Radiological difficulties in the diagnosis of fibrous dysplasia of the sphenoid sinus and the cranial base. Rhinology 39 : 49-51, 2001
22 Kusano T, Hirabayashi S, Eguchi T, Sugawara Y : Treatment strategies for fibrous dysplasia. J Craniofac Surg 20 : 768-770, 2009   DOI   ScienceOn
23 Toba M, Hayashida K, Imakita S, Fukuchi K, Kume N, Shimotsue Y, et al. : Increased bone mineral turnover without increased glucose utilization in sclerotic and hyperplastic change in fibrous dysplasia. Ann Nucl Med 12 : 153-155, 1998   DOI   ScienceOn
24 Levy ML, Chen TC, Weiss MH : Monostotic fibrous dysplasia of the clivus. Case report. J Neurosurg 75 : 800-803, 1991   DOI
25 Sharma RR, Mahapatra AK, Pawar SJ, Lad SD, Athale SD, Musa MM : Symptomatic cranial fibrous dysplasias: clinico-radiological analysis in a series of eight operative cases with follow-up results. J Clin Neurosci 9 : 381-390, 2002   DOI   ScienceOn