Patients Twenty-one patients with histopathologically confirmed fibrous dysplasia involving the skull base cared for over a 15-year-period (1983-1998). Setting A single tertiary academic medical center. Objective To gain a broader appreciation of the clinical presentation, operative treatment, and outcome of patients with fibrous dysplasia involving the skull base.ĭesign Retrospective review of a clinical case series. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.This patient has been described previously by Wojno and McCarthy. A follow-up scan 2 years after the drainage procedure demonstrated no change in size of the decompressed cystic mass, and the patient remained asymptomatic with regard to the lesion. The patient underwent left frontal craniotomy, cyst drainage, cystoethmoidectomy, and closure with a pericranial flap, which resulted in alleviation of the proptosis and flattening of the forehead deformity. On examination, compression on the obvious frontal mass caused increased proptosis. The patient complained of a bulging left eye, made worse by manually compressing the mass. This 40-year-old man with a history of severe polyostotic fibrous dysplasia presented with an expanding mass of his left frontal bone after mild head trauma. In addition, the calvarium is diffusely thickened with a heterogeneous, "ground-glass" appearance, consistent with fibrous dysplasia. Axial computed tomographic scan of a large 5-cm extra-axial fibrous dysplasia aneurysmal bone cyst of the frontal bone (arrow).
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