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Cystic Degeneration of Craniofacial Fibrous Dysplasia.

Abstract：

BACKGROUND:Fibrous dysplasia (FD) is most often a slowly progressive benign disease in which the normal bone structure is replaced by fibrous and osteoid tissue. CASE DESCRIPTION:A 16-year-old adolescent, known with FD in the sphenoid bone, suffered an acute decreased visual acuity with papilledema on the left eye. The radiologic images were best compatible with cystic degeneration of the known FD with optic nerve compression in the optic canal. Decompression of the optic nerve was performed through an endoscopic exploration of the left sphenoid sinus. The visual acuity recovered completely. CONCLUSIONS:In FD with cystic changes, leading to acute signs of optic nerve compression, early aggressive surgical decompression is strongly recommended. Cystic degeneration of the FD, although rare, should be considered.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Holl DC,Hardillo JAU,Dammers R,van der Schroeff MP,van der Lugt A

doi

10.1016/j.wneu.2018.08.175

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

159-162

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(18)31958-2

journal_volume

120

pub_type

杂志文章

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