AI Article Synopsis
- Fibrous dysplasia (FD) is mostly symptomless but can lead to rare neurological issues, like abducens nerve palsy, particularly in older patients.
- A case was reported involving a 76-year-old woman who developed left abducens nerve palsy due to pressure from an FD-related cyst, which was successfully treated through endoscopic surgery.
- The case highlights that while FD usually affects younger individuals, it can cause serious complications such as nerve palsy in older patients, especially when cysts form and create pressure that necessitates surgical intervention.
Article Abstract
Background: Fibrous dysplasia (FD) is typically asymptomatic but is known to occasionally cause neurological symptoms such as visual disturbances. However, FD-associated abducens nerve palsy is extremely rare.
Observations: A 76-year-old woman had a left abducens nerve palsy due to mass effect on the abducens nerve at Dorello's canal caused by FD and its associated cyst, which was resolved by resection of the cyst through an endoscopic transnasal route.
Lessons: Although FD is generally an asymptomatic lesion occurring in younger patients, it can occasionally cause abducens nerve palsy even in older patients. In particular, cystic degeneration within FD tends to trigger a mass effect and thus can require surgical decompression. https://thejns.org/doi/10.3171/CASE24424.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11488379 | PMC |
| http://dx.doi.org/10.3171/CASE24424 | DOI Listing |
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