Hiperostosis frontalis interna

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Trauma.

Patient Data

Age: 75
Gender: Female

CT Brain

ct

No evidence of intracranial hemorrhage. The grey-white matter differentiation is preserved, ventricular system and cisternal spaces appear normal. Periarticular white matter hypoattenuation is likely related to chronic small vessel ischemic changes. Hyperostosis frontalis interna involving the frontal, sphenoidal, and temporal bones. The visualized orbits and mastoid air cells are unremarkable. Mucous retention cysts/polyps in the maxillary sinuses. No skull fracture.

Case Discussion

Hyperostosis frontalis interna is a benign overgrowth of the inner table of the frontal bone commonly seen in older females. 

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