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Fibrous dysplasia

Case contributed by Shervin Sharifkashani
Diagnosis almost certain

Presentation

Fullness in the right temporal fossa and orbital pain.

Patient Data

Age: 45 years
Gender: Male
ct

Bone expansion and remodeling with ground glass density of the medulla on the right side greater wing of the sphenoid bone in the orbital lateral wall, fracture deformity in the medial wall, and orbital fat bulge within the deformity are seen. Exodeviation of the left eye is also seen.

Case Discussion

The case illustrates the pathology-proved fibrous dysplasia of the greater wing of the sphenoid bone in the orbital lateral wall which can progressively enlarge and lead to orbital apex syndrome.

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