Fibrous dysplasia of the clivus: A Case Report

Introduction:Fibrous dysplasia (FD) of the clivus, first described by Lichtenstein in 1938, is a very rare developmental, non-hereditary disorder caused by abnormal proliferation and maturation of fibroblasts resulting in replacement of mature bone by weak and immature bone.Case reportA 26-year-old...

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Bibliographic Details
Published inLibyan journal of medicine Vol. 2; no. 4; p. AOP:070614
Main Authors Lewis D, Kamour A, Ismail A H
Format Journal Article
LanguageEnglish
Published Taylor & Francis Group 01.01.2007
Subjects
Clivus
dysplasia
Fibrous
imaging
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Summary:Introduction:Fibrous dysplasia (FD) of the clivus, first described by Lichtenstein in 1938, is a very rare developmental, non-hereditary disorder caused by abnormal proliferation and maturation of fibroblasts resulting in replacement of mature bone by weak and immature bone.Case reportA 26-year-old otherwise fit and healthy Caucasian female presented to the Emergency Department with headache for 3 days, recurrent and getting worse. Neurological examination was normal. Blood investigations were essentially normal. Head CT scan showed slightly expanded clivus with ground glass density. MRI revealed slight expansion with focal signal alteration within the clivus, being hypointense on T1W images and FLAIR images and showing slightly increased signal intensity on T2W image.While in hospital the patient’s symptoms resolved with conventional painkiller treatment. Based on the current evidence available we opted for a conservative treatment and regular follow-ups and up to the day of writing this report, about eight months later, the patient is still on the same management plan.
ISSN:1819-6357