Document Detail


The "pirate sign" in fibrous dysplasia.
MedLine Citation:
PMID:  17053398     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fibrous dysplasia commonly involves the skull in both its monostotic and polyostotic variants. We present two cases of fibrous dysplasia involving the sphenoid wing, which were strikingly similar in their bone scan appearance. Both patients demonstrated intense increased uptake of Tc-99m MDP in a pattern reminding us of a "pirate wearing an eyepatch." We propose that this characteristic appearance of fibrous dysplasia of the sphenoid wing be called the "pirate sign." A review of the literature revealed several other pathologic conditions that have been reported to involve the sphenoid bone and should be considered in the differential diagnosis of abnormal bone tracer uptake in this region.
Authors:
Amit Singnurkar; Chris Rush
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  31     ISSN:  0363-9762     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-20     Completed Date:  2007-01-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  727-8     Citation Subset:  IM    
Affiliation:
Department of Nuclear Medicine, Division of Radiology, Jewish General Hospital and McGill University, Montreal, Quebec, Canada. amit.singnurkar@mail.mcgill.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fibrous Dysplasia, Polyostotic / metabolism,  radionuclide imaging*
Humans
Male
Radiopharmaceuticals / diagnostic use,  pharmacokinetics
Sphenoid Bone / abnormalities*,  metabolism,  radionuclide imaging*
Technetium Tc 99m Medronate / diagnostic use*,  pharmacokinetics
Tissue Distribution
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 63347-66-0/Technetium Tc 99m Medronate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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