ABSTRACT
Fibrous dysplasia is a benign, congenital skeletal disorder which leads to the formation of fibro-osseous intramedullary bone lesions. Clival fibrous dysplasia is a rare variant which commonly presents asymptomatically with no findings on examination and is often picked up incidentally on radiological investigation. A 39-year-old female presented with a sudden onset headache of 3 days' duration alongside diplopia and right lower limb weakness upon examination. Computerized tomography head scan revealed an expansile clivus with a ground-glass appearance, magnetic resonance imaging brain scan revealed a predominantly hypointense signal on T1- and T2-weighted images and subsequent whole-body bone imaging confirmed the diagnosis of monostotic clival fibrous dysplasia. This case highlights the importance of considering monostotic clival fibrous dysplasia as a differential diagnosis in patients presenting with sudden onset symptoms of headache alongside cranial and peripheral nerve involvement, when other more sinister causes have been excluded.
ABSTRACT
Traumatic diaphragmatic hernia is rare in children. Left-sided Herniations are seen in 90%. The diagnosis is often delayed for months to years because of its rarity and overshadowing injuries. Chest/abdominal radiographs and, in particular cases, computed tomography and ultrasound improve the accuracy of diagnosis. We report two cases of traumatic diaphragmatic rupture in children. The history of trauma along with plain X-rays/barium study was diagnostic in both the cases.
