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Case Reports
. 2021 Jan 7;7(3):20200152.
doi: 10.1259/bjrcr.20200152. eCollection 2021 May 1.

Enostosis-related epilepsy

Jorge Vaz Lourenço  1 , Joana Coelho  1 , Andrea Salgueiro  2
Affiliations
Case Reports

Enostosis-related epilepsy

Jorge Vaz Lourenço et al. BJR Case Rep. .

Abstract

Unexpected bone lesions of the skull present a common dilemma, where radiological appearance and patient's clinical background are crucial to avoid misdiagnosis. Enostosis are benign sclerotic bone lesions; its aetiology is still unknown and its management is usually conservative, with good prognosis. Most of these lesions are asymptomatic and neurological involvement is rare. We present the first report of enostosis-related epilepsy.

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Figures

Figure 1.
Figure 1.
Right temporal enostosic lesion on non-contrast brain CT (bone image).
Figure 2.
Figure 2.
3D reconstruction-CT of the enostosic lesion (yellow arrow)
Figure 3.
Figure 3.
Brain CT showing no parenchymal compromise in coronal (A), axial (B) sagittal and (C) planes
Figure 4.
Figure 4.
Patient’s EEG shows generalized epileptiform activity derived from right temporal lobe
See this image and copyright information in PMC

References

    1. Gomez CK, Schiffman SR, Bhatt AA. Radiological review of skull lesions. Insights Imaging 2018; 9: 857–82. doi: 10.1007/s13244-018-0643-0 - DOI - PMC - PubMed
    1. Medeiros S, Ferreira P, Nunes A. Tumores Ósseos Benignos MAIS Frequentes Na Criança Aspectos Imagiológicos. Acta Radiológica Portuguesa 2009; 21: 65–71.
    1. Brant WE, Helms CA. Fundamentals of diagnostic radiology. 0781761352. Lippincott Williams & Wilkins: ISBN; 2007.
    1. Ulano A, Bredella MA, Burke P, Chebib I, Simeone FJ, Huang AJ, et al. . Distinguishing untreated osteoblastic metastases from Enostoses using CT attenuation measurements. AJR Am J Roentgenol 2016; : 207: 362–8207. doi: 10.2214/AJR.15.15559 - DOI - PubMed
    1. Bernard S, Walker E, Raghavan M. An approach to the evaluation of incidentally identified bone lesions encountered on imaging studies. AJR Am J Roentgenol 2017; 208: 960–70. doi: 10.2214/AJR.16.17434 - DOI - PubMed

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