Clinical and radiological observation in a surgical series of 36 cases of fibrous dysplasia of the skull

Abstract Objectives To describe the clinical and radiological findings in a consecutive series of patients diagnosed with fibrous dysplasia of the skull. Patients and methods A retrospective analysis of collected data for 36 patients with histopathologically confirmed fibrous dysplasia involving the...

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Veröffentlicht in:Clinical neurology and neurosurgery 2012-04, Vol.114 (3), p.254-259
Hauptverfasser: Cai, MingJun, Ma, LianTing, Xu, GuoZheng, Gruen, Peter, Li, Jun, Yang, Ming, Pan, Li, Guan, HanFeng, Chen, Gang, Gong, Jie, Hu, JunMing, Qin, ShangZheng
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container_end_page 259
container_issue 3
container_start_page 254
container_title Clinical neurology and neurosurgery
container_volume 114
creator Cai, MingJun
Ma, LianTing
Xu, GuoZheng
Gruen, Peter
Li, Jun
Yang, Ming
Pan, Li
Guan, HanFeng
Chen, Gang
Gong, Jie
Hu, JunMing
Qin, ShangZheng
description Abstract Objectives To describe the clinical and radiological findings in a consecutive series of patients diagnosed with fibrous dysplasia of the skull. Patients and methods A retrospective analysis of collected data for 36 patients with histopathologically confirmed fibrous dysplasia involving the skull is presented. The demographic data, clinical presentation, radiographic characteristics, and the management of these patients were reviewed. Results All 36 patients in this review were diagnosed with fibrous dysplasia involving at least part of the skull. In this study, the most commonly involved area of the skull was the frontal bone (52.78% of patients). The next most common area of skull was the temporal bone (30.56% of patients), followed by the sphenoid bone (25% of patients), the parietal bone (19.44% of patients), and orbital bone (13.89% of patients). The principal clinical presentation included headache, local lump, exophthalmos, visual disorder, cranial nerve paralysis, and facial malformation. These patients were treated by surgical treatment, and several of our patients underwent various degrees of reconstruction to optimize function. Conclusions Effective surgical treatment may improve the short-term outcome in these patients, and a “tailored” surgical approach is necessary.
doi_str_mv 10.1016/j.clineuro.2011.10.026
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Patients and methods A retrospective analysis of collected data for 36 patients with histopathologically confirmed fibrous dysplasia involving the skull is presented. The demographic data, clinical presentation, radiographic characteristics, and the management of these patients were reviewed. Results All 36 patients in this review were diagnosed with fibrous dysplasia involving at least part of the skull. In this study, the most commonly involved area of the skull was the frontal bone (52.78% of patients). The next most common area of skull was the temporal bone (30.56% of patients), followed by the sphenoid bone (25% of patients), the parietal bone (19.44% of patients), and orbital bone (13.89% of patients). The principal clinical presentation included headache, local lump, exophthalmos, visual disorder, cranial nerve paralysis, and facial malformation. These patients were treated by surgical treatment, and several of our patients underwent various degrees of reconstruction to optimize function. Conclusions Effective surgical treatment may improve the short-term outcome in these patients, and a “tailored” surgical approach is necessary.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2011.10.026</identifier><identifier>PMID: 22088360</identifier><identifier>CODEN: CNNSBV</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Child ; Computed tomography ; Facial Pain - etiology ; Female ; Fibrous dysplasia ; Fibrous Dysplasia of Bone - pathology ; Fibrous Dysplasia of Bone - surgery ; Fibrous Dysplasia of Bone - therapy ; Follow-Up Studies ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Neurology ; Neurosurgery ; Neurosurgical Procedures ; Retrospective Studies ; Skull ; Skull - pathology ; Skull - surgery ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tomography, X-Ray Computed ; Treatment Outcome ; Young Adult</subject><ispartof>Clinical neurology and neurosurgery, 2012-04, Vol.114 (3), p.254-259</ispartof><rights>Elsevier B.V.</rights><rights>2011 Elsevier B.V.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c578t-ce46d893a8c03196e9fcd21dc421c7d0f30bbfca88f253ccb45e619144fa52e73</citedby><cites>FETCH-LOGICAL-c578t-ce46d893a8c03196e9fcd21dc421c7d0f30bbfca88f253ccb45e619144fa52e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0303846711003428$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=25669279$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22088360$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cai, MingJun</creatorcontrib><creatorcontrib>Ma, LianTing</creatorcontrib><creatorcontrib>Xu, GuoZheng</creatorcontrib><creatorcontrib>Gruen, Peter</creatorcontrib><creatorcontrib>Li, Jun</creatorcontrib><creatorcontrib>Yang, Ming</creatorcontrib><creatorcontrib>Pan, Li</creatorcontrib><creatorcontrib>Guan, HanFeng</creatorcontrib><creatorcontrib>Chen, Gang</creatorcontrib><creatorcontrib>Gong, Jie</creatorcontrib><creatorcontrib>Hu, JunMing</creatorcontrib><creatorcontrib>Qin, ShangZheng</creatorcontrib><title>Clinical and radiological observation in a surgical series of 36 cases of fibrous dysplasia of the skull</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>Abstract Objectives To describe the clinical and radiological findings in a consecutive series of patients diagnosed with fibrous dysplasia of the skull. Patients and methods A retrospective analysis of collected data for 36 patients with histopathologically confirmed fibrous dysplasia involving the skull is presented. The demographic data, clinical presentation, radiographic characteristics, and the management of these patients were reviewed. Results All 36 patients in this review were diagnosed with fibrous dysplasia involving at least part of the skull. In this study, the most commonly involved area of the skull was the frontal bone (52.78% of patients). The next most common area of skull was the temporal bone (30.56% of patients), followed by the sphenoid bone (25% of patients), the parietal bone (19.44% of patients), and orbital bone (13.89% of patients). The principal clinical presentation included headache, local lump, exophthalmos, visual disorder, cranial nerve paralysis, and facial malformation. These patients were treated by surgical treatment, and several of our patients underwent various degrees of reconstruction to optimize function. Conclusions Effective surgical treatment may improve the short-term outcome in these patients, and a “tailored” surgical approach is necessary.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Computed tomography</subject><subject>Facial Pain - etiology</subject><subject>Female</subject><subject>Fibrous dysplasia</subject><subject>Fibrous Dysplasia of Bone - pathology</subject><subject>Fibrous Dysplasia of Bone - surgery</subject><subject>Fibrous Dysplasia of Bone - therapy</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Neurosurgical Procedures</subject><subject>Retrospective Studies</subject><subject>Skull</subject><subject>Skull - pathology</subject><subject>Skull - surgery</subject><subject>Surgery</subject><subject>Surgery (general aspects). 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Graft diseases</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cai, MingJun</creatorcontrib><creatorcontrib>Ma, LianTing</creatorcontrib><creatorcontrib>Xu, GuoZheng</creatorcontrib><creatorcontrib>Gruen, Peter</creatorcontrib><creatorcontrib>Li, Jun</creatorcontrib><creatorcontrib>Yang, Ming</creatorcontrib><creatorcontrib>Pan, Li</creatorcontrib><creatorcontrib>Guan, HanFeng</creatorcontrib><creatorcontrib>Chen, Gang</creatorcontrib><creatorcontrib>Gong, Jie</creatorcontrib><creatorcontrib>Hu, JunMing</creatorcontrib><creatorcontrib>Qin, ShangZheng</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cai, MingJun</au><au>Ma, LianTing</au><au>Xu, GuoZheng</au><au>Gruen, Peter</au><au>Li, Jun</au><au>Yang, Ming</au><au>Pan, Li</au><au>Guan, HanFeng</au><au>Chen, Gang</au><au>Gong, Jie</au><au>Hu, JunMing</au><au>Qin, ShangZheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical and radiological observation in a surgical series of 36 cases of fibrous dysplasia of the skull</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>114</volume><issue>3</issue><spage>254</spage><epage>259</epage><pages>254-259</pages><issn>0303-8467</issn><eissn>1872-6968</eissn><coden>CNNSBV</coden><abstract>Abstract Objectives To describe the clinical and radiological findings in a consecutive series of patients diagnosed with fibrous dysplasia of the skull. Patients and methods A retrospective analysis of collected data for 36 patients with histopathologically confirmed fibrous dysplasia involving the skull is presented. The demographic data, clinical presentation, radiographic characteristics, and the management of these patients were reviewed. Results All 36 patients in this review were diagnosed with fibrous dysplasia involving at least part of the skull. In this study, the most commonly involved area of the skull was the frontal bone (52.78% of patients). The next most common area of skull was the temporal bone (30.56% of patients), followed by the sphenoid bone (25% of patients), the parietal bone (19.44% of patients), and orbital bone (13.89% of patients). The principal clinical presentation included headache, local lump, exophthalmos, visual disorder, cranial nerve paralysis, and facial malformation. These patients were treated by surgical treatment, and several of our patients underwent various degrees of reconstruction to optimize function. Conclusions Effective surgical treatment may improve the short-term outcome in these patients, and a “tailored” surgical approach is necessary.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>22088360</pmid><doi>10.1016/j.clineuro.2011.10.026</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Adult
Biological and medical sciences
Child
Computed tomography
Facial Pain - etiology
Female
Fibrous dysplasia
Fibrous Dysplasia of Bone - pathology
Fibrous Dysplasia of Bone - surgery
Fibrous Dysplasia of Bone - therapy
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Neurology
Neurosurgery
Neurosurgical Procedures
Retrospective Studies
Skull
Skull - pathology
Skull - surgery
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
title Clinical and radiological observation in a surgical series of 36 cases of fibrous dysplasia of the skull
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