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Distinctive spinal changes in two patients with unusual forms of autosomal dominant endosteal hyperostosis: a case series.

Al Kaissi A, Varga F, Zandieh S, Klaushofer K, Grill F - J Med Case Rep (2007)

Bottom Line: Endosteal hyperostosis was encountered in a 26-year-old-man and his 6-month-old daughter.Both the father and his daughter presented with fractures.Odontoid process hyperplasia, and progressive sclerosis of the posterior spinal elements, was the other significant features.

View Article: PubMed Central - HTML - PubMed

Affiliation: Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of WGKK and AUVA Trauma Centre Meidling, 4th Medical Department, Hanusch Hospital, Heinrich Collin Str, 30 A-1140, Vienna, Austria. ali.alkaissi@osteologie.at.

ABSTRACT
Endosteal hyperostosis was encountered in a 26-year-old-man and his 6-month-old daughter. Both the father and his daughter presented with fractures. Odontoid process hyperplasia, and progressive sclerosis of the posterior spinal elements, was the other significant features. To the best of our knowledge, this is the first clinical report describing distinctive spinal changes in association with fractures and endosteal hyperostosis.

No MeSH data available.


Related in: MedlinePlus

(patient 2) Sagittal reformatted multiplanar computed tomography of the craniocervical junction showed a hyperplastic odontoid process. The tip of the dens projected 4.8 mm above a line joining the back of the hard palate to the lowest point of the occipital squama (McGregor line). A mild basilar invagination was therefore present. Note the increased bone density of the posterior vertebral elements.
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Figure 6: (patient 2) Sagittal reformatted multiplanar computed tomography of the craniocervical junction showed a hyperplastic odontoid process. The tip of the dens projected 4.8 mm above a line joining the back of the hard palate to the lowest point of the occipital squama (McGregor line). A mild basilar invagination was therefore present. Note the increased bone density of the posterior vertebral elements.

Mentions: Radiographic examination of the femora showed thick, and dense, endosteal hyperostosis more marked at the mid-diaphyses. The medullary canals were narrow but patent, and the endosteal surface was irregular (figure 4). Lateral radiogram of the skull shows thick and sclerosed skull vault-arrow- (fig 5). Sagittal reformatted multiplanar computed tomography of the craniocervical junction showed a hyperplastic odontoid process. The tip of the dens projected 4.8 mm above a line joining the back of the hard palate to the lowest point of the occipital squama (McGregor line). Subclinical basilar invagination was therefore present. Note the increased bone density of the posterior vertebral elements (figure 6).


Distinctive spinal changes in two patients with unusual forms of autosomal dominant endosteal hyperostosis: a case series.

Al Kaissi A, Varga F, Zandieh S, Klaushofer K, Grill F - J Med Case Rep (2007)

(patient 2) Sagittal reformatted multiplanar computed tomography of the craniocervical junction showed a hyperplastic odontoid process. The tip of the dens projected 4.8 mm above a line joining the back of the hard palate to the lowest point of the occipital squama (McGregor line). A mild basilar invagination was therefore present. Note the increased bone density of the posterior vertebral elements.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2194708&req=5

Figure 6: (patient 2) Sagittal reformatted multiplanar computed tomography of the craniocervical junction showed a hyperplastic odontoid process. The tip of the dens projected 4.8 mm above a line joining the back of the hard palate to the lowest point of the occipital squama (McGregor line). A mild basilar invagination was therefore present. Note the increased bone density of the posterior vertebral elements.
Mentions: Radiographic examination of the femora showed thick, and dense, endosteal hyperostosis more marked at the mid-diaphyses. The medullary canals were narrow but patent, and the endosteal surface was irregular (figure 4). Lateral radiogram of the skull shows thick and sclerosed skull vault-arrow- (fig 5). Sagittal reformatted multiplanar computed tomography of the craniocervical junction showed a hyperplastic odontoid process. The tip of the dens projected 4.8 mm above a line joining the back of the hard palate to the lowest point of the occipital squama (McGregor line). Subclinical basilar invagination was therefore present. Note the increased bone density of the posterior vertebral elements (figure 6).

Bottom Line: Endosteal hyperostosis was encountered in a 26-year-old-man and his 6-month-old daughter.Both the father and his daughter presented with fractures.Odontoid process hyperplasia, and progressive sclerosis of the posterior spinal elements, was the other significant features.

View Article: PubMed Central - HTML - PubMed

Affiliation: Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of WGKK and AUVA Trauma Centre Meidling, 4th Medical Department, Hanusch Hospital, Heinrich Collin Str, 30 A-1140, Vienna, Austria. ali.alkaissi@osteologie.at.

ABSTRACT
Endosteal hyperostosis was encountered in a 26-year-old-man and his 6-month-old daughter. Both the father and his daughter presented with fractures. Odontoid process hyperplasia, and progressive sclerosis of the posterior spinal elements, was the other significant features. To the best of our knowledge, this is the first clinical report describing distinctive spinal changes in association with fractures and endosteal hyperostosis.

No MeSH data available.


Related in: MedlinePlus