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Aneurysmal bone cyst on top of fibro-osseous lesion of the ethmoid sinus with orbital and intracranial extension in a child

OBJECTIVE: Aneurysmal bone cysts (ABCs) rarely involve the cranium. We report a case arising in the ethmoid sinus with orbital and intracranial invasion. Imaging suggested an associated fibro-osseous lesion. The lesion was completely resected. Histology confirmed the imaging diagnosis of ABC on top...

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Autores principales: Elsayed, Ayman Ahmed, Mohamed, Rawia Mubarak Hamad, Devine, John Charles, Wasserberg, Jonathan, Elbadawey, Mohamed Reda, Abdelsamad, H. S. S., Sajid, Sameeha, Mansour, Zeenah Ryad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Institute of Radiology. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9461734/
https://www.ncbi.nlm.nih.gov/pubmed/36101731
http://dx.doi.org/10.1259/bjrcr.20210246
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author Elsayed, Ayman Ahmed
Mohamed, Rawia Mubarak Hamad
Devine, John Charles
Wasserberg, Jonathan
Elbadawey, Mohamed Reda
Abdelsamad, H. S. S.
Sajid, Sameeha
Mansour, Zeenah Ryad
author_facet Elsayed, Ayman Ahmed
Mohamed, Rawia Mubarak Hamad
Devine, John Charles
Wasserberg, Jonathan
Elbadawey, Mohamed Reda
Abdelsamad, H. S. S.
Sajid, Sameeha
Mansour, Zeenah Ryad
author_sort Elsayed, Ayman Ahmed
collection PubMed
description OBJECTIVE: Aneurysmal bone cysts (ABCs) rarely involve the cranium. We report a case arising in the ethmoid sinus with orbital and intracranial invasion. Imaging suggested an associated fibro-osseous lesion. The lesion was completely resected. Histology confirmed the imaging diagnosis of ABC on top of an ossifying fibroma. A multidisciplinary approach is essential for optimal surgical outcomes. METHODS: We report a case of an 8-year-old boy with a 5 week history of painless, increasing prominence of the left eye. Clinical examination revealed non-pulsatile left proptosis. Visual acuity and ocular movements were normal. CT and MRI scans of the maxillofacial regions showed a large space-occupying lesion involving the left ethmoid air cells with left orbital and left inferior frontal intracranial extension. Multiple fluid levels with blood products were seen. Areas of the bony component of the lesion showed ground-glass density on CT. Imaging was consistent with an ABC with an underlying fibro-osseous lesion; probably fibrous dysplasia which was confirmed after surgical removal of the lesion. A multidisciplinary team of maxillofacial, neurosusugery and ENT surgeons performed the surgery. RESULTS: ABC arising from an osseous fibroma of the skull is rare. Total resection can be achieved with a multidisciplinary surgical approach. Post-operative histology confirmed by the imaging findings.
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spelling pubmed-94617342022-09-12 Aneurysmal bone cyst on top of fibro-osseous lesion of the ethmoid sinus with orbital and intracranial extension in a child Elsayed, Ayman Ahmed Mohamed, Rawia Mubarak Hamad Devine, John Charles Wasserberg, Jonathan Elbadawey, Mohamed Reda Abdelsamad, H. S. S. Sajid, Sameeha Mansour, Zeenah Ryad BJR Case Rep Case Report OBJECTIVE: Aneurysmal bone cysts (ABCs) rarely involve the cranium. We report a case arising in the ethmoid sinus with orbital and intracranial invasion. Imaging suggested an associated fibro-osseous lesion. The lesion was completely resected. Histology confirmed the imaging diagnosis of ABC on top of an ossifying fibroma. A multidisciplinary approach is essential for optimal surgical outcomes. METHODS: We report a case of an 8-year-old boy with a 5 week history of painless, increasing prominence of the left eye. Clinical examination revealed non-pulsatile left proptosis. Visual acuity and ocular movements were normal. CT and MRI scans of the maxillofacial regions showed a large space-occupying lesion involving the left ethmoid air cells with left orbital and left inferior frontal intracranial extension. Multiple fluid levels with blood products were seen. Areas of the bony component of the lesion showed ground-glass density on CT. Imaging was consistent with an ABC with an underlying fibro-osseous lesion; probably fibrous dysplasia which was confirmed after surgical removal of the lesion. A multidisciplinary team of maxillofacial, neurosusugery and ENT surgeons performed the surgery. RESULTS: ABC arising from an osseous fibroma of the skull is rare. Total resection can be achieved with a multidisciplinary surgical approach. Post-operative histology confirmed by the imaging findings. The British Institute of Radiology. 2022-03-07 /pmc/articles/PMC9461734/ /pubmed/36101731 http://dx.doi.org/10.1259/bjrcr.20210246 Text en © 2022 The Authors. Published by the British Institute of Radiology https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Elsayed, Ayman Ahmed
Mohamed, Rawia Mubarak Hamad
Devine, John Charles
Wasserberg, Jonathan
Elbadawey, Mohamed Reda
Abdelsamad, H. S. S.
Sajid, Sameeha
Mansour, Zeenah Ryad
Aneurysmal bone cyst on top of fibro-osseous lesion of the ethmoid sinus with orbital and intracranial extension in a child
title Aneurysmal bone cyst on top of fibro-osseous lesion of the ethmoid sinus with orbital and intracranial extension in a child
title_full Aneurysmal bone cyst on top of fibro-osseous lesion of the ethmoid sinus with orbital and intracranial extension in a child
title_fullStr Aneurysmal bone cyst on top of fibro-osseous lesion of the ethmoid sinus with orbital and intracranial extension in a child
title_full_unstemmed Aneurysmal bone cyst on top of fibro-osseous lesion of the ethmoid sinus with orbital and intracranial extension in a child
title_short Aneurysmal bone cyst on top of fibro-osseous lesion of the ethmoid sinus with orbital and intracranial extension in a child
title_sort aneurysmal bone cyst on top of fibro-osseous lesion of the ethmoid sinus with orbital and intracranial extension in a child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9461734/
https://www.ncbi.nlm.nih.gov/pubmed/36101731
http://dx.doi.org/10.1259/bjrcr.20210246
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