H. Koizumi, S. Utsuki, H. Oka, S. Shimizu, K. Fujii
{"title":"Chronic Recurrent Multifocal Osteomyelitis Involving The Skull","authors":"H. Koizumi, S. Utsuki, H. Oka, S. Shimizu, K. Fujii","doi":"10.5580/2a89","DOIUrl":null,"url":null,"abstract":"We report a rare case of chronic recurrent multifocal osteomyelitis of the skull. A 21-year-old man presented with headache and fever. Skull radiography revealed hypertransradiancy with multiple round marginal irregular osteoclasia. Computed tomography (CT) scan showed a thick skull, heterogeneous diploe, and a lot of hardened macular shadow; however, the underlying brain tissue was normal. Tc-methylene diphosphonate (MDP) bone scintigraphy showed high activity in the skull and tibia. During surgery for this bone lesion, inflammatory changes were noted; however, they were not neoplastic.Chronic recurrent multifocal osteomyelitis of the skull bone is extremely rare and we could find only 1 reported case in the literature.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Internet Journal of Neurosurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5580/2a89","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
Abstract
We report a rare case of chronic recurrent multifocal osteomyelitis of the skull. A 21-year-old man presented with headache and fever. Skull radiography revealed hypertransradiancy with multiple round marginal irregular osteoclasia. Computed tomography (CT) scan showed a thick skull, heterogeneous diploe, and a lot of hardened macular shadow; however, the underlying brain tissue was normal. Tc-methylene diphosphonate (MDP) bone scintigraphy showed high activity in the skull and tibia. During surgery for this bone lesion, inflammatory changes were noted; however, they were not neoplastic.Chronic recurrent multifocal osteomyelitis of the skull bone is extremely rare and we could find only 1 reported case in the literature.