Medknow Publications on behalf of the Neurological Society of India
Abstract
We would like to report a case of fibrous dysplasia of the temporal
bone in a 15 year female, who presented with occipital headache for
four months. On examination there was deviation of the angle of the
mouth towards the right side and partial closure of the left eye while
laughing. There was no impaired hearing. There was lower motor neurone
palsy of the 7th cranial nerve on the left side with downgoing
planters. Plain radiographs of the skull showed ground glass appearance
of the temporal bone on the left side (Fig. 1,2). Axial CT showed
extensive involvement of the left temporal bone and mastoids by
pagetoid fibrous dysplasia producing classic ground glass appearance.
There is also extension of the process into the occipital bone,
sphenoid bone and posterior cranial fossa