Carbonell J, Olabe J, López A, Gata J
Servicio de ORL, Hospital Son Dureta, Palma de Mallorca.
Acta Otorrinolaringol Esp. 1996 Sep-Oct;47(5):397-400.
Osteomas are benign lesions that may cause life-threatening complications. Their radiological diagnosis usually is casual. Once diagnosed, periodic radiological follow-ups should be carried out and if growth occurs, surgical measures should be taken to prevent complications. The case of a 53-years-old white male admitted for injuries produced by a traffic accident is reported. He had a history of frontalization syndrome with episodes of disorientation and behavioral changes. Plain radiography, CAT, MRI and bicarotid angiography revealed a bone mass that occupied almost the entire anterior fossa. Intracranial hypertension syndrome caused by a giant ethmoidal osteoma was diagnosed. Surgery using a frontal approach was undertaken.
骨瘤是可能导致危及生命并发症的良性病变。其放射学诊断通常较为偶然。一旦确诊，应进行定期放射学随访，若有生长，则应采取手术措施以预防并发症。本文报告了一名53岁白人男性因交通事故受伤入院的病例。他有额化综合征病史，伴有定向障碍和行为改变发作。X线平片、计算机断层扫描（CAT）、磁共振成像（MRI）和双侧颈动脉血管造影显示一个几乎占据整个前颅窝的骨块。诊断为巨大筛骨骨瘤引起的颅内高压综合征。采用额部入路进行了手术。
