Finding of hyperostosis frontalis interna during the. Thirty six acromegalic patients, of whom 19 had hyperprolactinaemia, were compared with 36 randomlyselected, agesex matched controls. Radiological, computerized tomographic, operative, and histological findings of this rare case are presented. There was a higher prevalence of hfi in the skull xrays of the acromegalic cohort p 0. No diagnostico diferencial, consideraramse a osteomalacia, a dop, a sifilis, a leontiase ossea e a hiperostose frontal interna. The aim of this dissertation is to determine the prevalence of dish, its distribution by sex and age at death, and its manifestation in the skeleton in the coimbra identified skeletal collection 19th20th century, and assess its possible relation with socioeconomic status, causes of death and hyperostosis frontalis interna hfi. Hyperostosis frontalis interna hfi is manifested by the accretion of bone on the inner table of the frontal bone. We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail.
Hyperostosis frontalis interna hfi is a benign entity which is characterised by the thickening of inner table of frontal bone. It is not clear that this disorder is actually rare. Abstract the entity generally referred to as hyperostosis frontalis interna, the morgagni syndrome, or the stewartmorel syndrome, and recently renamed metabolic craniopathy by moore 43 is not new to medical literature. Extensive hyperostosis cranil interna involving multiple cranial bones in a 79 yearold woman. Hyperostosis frontalis interna and mental morbidity the. Alexa k couture, montane b silverman, john z thomas, sarah a walsh and guinevere granite a thickening of the frontal bones characterizes hyperostosis frontalis interna.
Extensive hyperostosis cranii interna involving multiple. Hiperostosis frontal interna pdf hyperostosis frontalis interna is characterized by the thickening of the frontal bone of the skull. Fortysix mentally ill women with radiologically verified hyperostosis frontalis interna hfi were compared with 46 matched mentally ill women without hfi in respect of mental morbidity among the full siblings of the two groups. Hyperostosis frontalis interna hfi is classified into a broad category of hyperostoses termed either hyperostosis cranii diffusa hcd, in which there appears a uniform thickening of all cranial vault bones murczynski, 1952, or hyperostosis calvariae interna hci. Hyperostosis frontalis interna hfi on 18fnaf petct. Hyperostosis frontalis interna is characterized by benign overgrowth of the inner table of the frontal bone. It is typically bilateral and symmetrical, and may extend to involve the parietal bones. We present a novel case of migraine headache in a gentleman with klinefelters syndrome and hfi, along with a discussion of possible pathophysiologic mechanisms underlying both the headache and the hfi. Hyperostosis of the internal table of the frontal bone is not an uncommon phenomenon.
Mostly frequently it is found as an incidental finding discovered during an xray or ct scan of the skull. Hyperostosis frontalis interna hfi has been reported in older women, but reports in men are rare. Hyperostosis frontalis interna is a common phenomenon, which may have been overrated in its significance in the past, and may, currently be underrated in its significance. Full text full text is available as a scanned copy of the original print version. Hiperostose esqueletica idiopatica difusa hiperostose frontal interna. Imaging features and progression of hyperostosis cranialis. Hiperostose frontal interna espessamento e supercrescimento da tabua interna do osso frontal. Irs recommends that you download pdf files to your local computer prior to opening them. The association between hyperostosis frontalis interna hfi, acromegaly and hyperprolactinaemia was investigated. A hiperostose frontal e uma condicao medica caracterizada pelo lado interno do espessamento do osso. Hci is a unique autosomaldominant sclerosing bone dysplasia affecting the skull base and the calvaria, characterized by cranial nerve deficits due to stenosis of neuroforamina, whereby the mandible is affected to a lesser extent.
Hyperostosis frontalis interna, a genetic disease two. Thank you for your interest in spreading the word about the bmj. The authors describe a case of atypical unilateral prominent hyperostosis frontalis interna in a 50yearold japanese woman with psychiatric symptoms. Ferdinand morel 1 in 1930 called attention to a group of symptoms associated with hyperostosis of the internal tables of the frontal bones. This condition is believed to be seen mostly in females.
Abstract a thickening of the frontal bones characterizes hyperostosis frontalis interna. The condition is generally of no clinical significance and an incidental finding. Hyperostosis frontalis interna hfi is a bone condition that mainly affects the inner table of the frontal bone. Hyperostosis definition of hyperostosis by the free. Although there are numerous publications on the subject, at. The pdf is now an open standard, maintained by the international organization for standardization iso. We present three cases of hyperostosis frontalis interna found during medicolegal autopsies and. Headache in a patient with klinefelters syndrome and. Hyperostosis frontalis interna as a potential source of. Morethan 150 years later stewart 1928 and morel 1930, on examining hyperostosis frontalis interna in psychiatric cases, suggested that the combination ofhyperostosis andendocrine and neuropsychiatric disturbances was a definite syndrome. Seizures and headaches that may be associated with hyperostosis frontalis interna hfi are typically treated with standard medications. If playback doesnt begin shortly, try restarting your.
Hyperostosis frontalis interna radiology reference. Aneurisma da arteria carotida interna supraclinoidea e dor facial. It is a normal variant, and thus benign, characterized by nodular. Get a printable copy pdf file of the complete article 1. A localizacao dos osteomas foi occipital em tres casos, frontal em tres e parietal em dois. Hyperostosis frontalis interna is an abnormality of the inner table of the frontal bones of the skull consisting of typically smooth, rounded enostoses covered by dura and projecting into the cranial cavity. Hyperostosis frontalis interna and hyperphosphatasemia. Start je gratis proefversie van acrobat dc en combineer meerdere bestanden tot een pdfdocument. Esta molestia ou sindrome, tambem conhecida com os. Get a printable copy pdf file of the complete article 558k, or.
Hyperostosis frontalis interna is an inherited pathological condition which is characterized by thickening of the frontal bone of the skull. Sherwood moore has delimited what seems to be a definite symptom complex associated with changes in the frontal bones of the skull. Surgery was performed to remove the hypertrophic frontal bone on the patient. This condition is found typically postmortem in postmenopausal. Among these conditions, hyperostosis frontalis interna of the frontal bone but can extend to the upper orbital plate and to hfi is a particularly signi. Doctors give unbiased, helpful information on indications, contraindications, benefits, and complications. In one journal article, the authors discuss a person with morgagnistewartmorel syndrome who reportedly had violent headaches. However, such hyperostosis of the temporal andor sphenoid bone is rarely discussed in the available literature, especially in the absence of meningioma. Hyperostosis frontalis interna hfi is a condition that involves thickening of the inner surface of the frontal bone with sparing of the midline. Extensive hyperostosis cranii interna involving multiple cranial bones in a 79yearold woman authors.
Pdf format is a file format developed by adobe in the 1990s to present documents, including text formatting. Hyperostosis frontalis interna hfi is one of several types of cranial hyperostosis that may be encountered on ct or mri. Hyperostosis frontalis interna is a common, benign thickening of the inner side of the frontal bone of the skull. Despite the vast literature on hfi, ambiguity exists as to its etiology, osteogenesis, demography, and history. An example of meningiomatous hyperostosis from medieval. It is most commonly reported in postmenopausal women as an incidental finding. Hyperostosis frontalis interna is found to be associated with many different conditions like seizure disorder. It is found predominantly in women after menopause and is usually asymptomatic. Some abnormalities are only visible when made brighter with contrast enhancement, others are more easily delineated or more accurately assessed. Hyperostosis frontalis interna hfi is a condition in which the endocranial surface, principally on the frontal bone, displays marked thickening through deposits of bone. Though some radiological features on conventional neuroimaging like intratumoral cystic change, hyperostosis of the adjacent skull, bony destruction, extracranial tumor extension through the skull base, arterial encasement, and peritumoral brain edema have been found to distinguish these two entities. Xray computed tomography media in category ct images of hyperostosis the following 8 files are in this category, out of 8 total. We suggest that the presence of hyperostosis frontalis interna hfi may interfere with cerebral oximeter accuracy. Links to pubmed are also available for selected references.671 381 706 1215 776 1283 434 321 921 1404 813 463 378 1234 410 1467 173 1041 832 211 609 797 1547 1476 1509 1422 897 1276 9 769 1308 15 639 1054 1083 391