Hemorrhagic Fibrous Dysplasia with Acute Neurological Decline: Case Report and Review of the Literature.

BACKGROUND: Fibrous dysplasia is a rare, benign fibro-osseous malformation whose occurrence in the craniofacial area can result in optic nerve compression, a cerebral mass effect, and cosmetic deformity. Most lesions will progress slowly, and the risk of malignant progression is rare. CASE DESCRIPTION: We present the case of a 21-year-old woman who had presented with acute worsening visual loss secondary to hemorrhagic fibrous dysplasia with ensuing optic nerve compression. Emergent surgical decompression resulted in rapid improvement of her visual dysfunction. The pathological features demonstrated a mixed pattern of woven bone in a fibrous background and secondary aneurysmal bone cyst-like changes. CONCLUSIONS: Hemorrhagic transformation of craniofacial FD remains rare but can present with acute neurologic deterioration. Rapid diagnosis and treatment can allow reversal of patient morbidity. We have also included Supplementary Video 1 to illustrate the surgical principles, and we review the reported data of similar cases.

Osseous malformation in calves and its relationship with ingestion of apple pomace in pregnant cows / Malformações ósseas em bezerros e sua relação com a ingestão de bagaço de maçã por vacas prenhes

Three outbreaks of osseous malformation in claves born of cows fed apple pomace throughout pregnancy are described. This study was carried out from historical surveys on properties where apple pomace was used in cattle feeding. The outbreaks occurred in the municipalities of Lages, Santa Catarina state, from 2007 to 2012, and Ipê, Rio Grande do Sul state, from 2011 to 2012. These calves presented bone deformity characterized mainly by arthrogryposis and chondrodysplasia of the anterior limbs. At necropsy, the observed changes were restricted to bending and thickening of the anterior limbs and skull. Microscopically, a disorganized, irregular, misaligned hypertrophic zone was observed in the humeral-radio-ulnar joints, in addition to absence of growth zone, thin bone trabeculae, and closed epiphyseal growth plate.(AU)

Descrevem-se 3 surtos de malformações ósseas em bezerros, nascidos de vacas prenhes alimentadas com bagaço de maçã. Estudos foram realizados a partir de levantamento de históricos em propriedades onde bagaço de maçã foi utilizado na alimentação de bovinos. Os surtos ocorreram nos municípios de Lages em Santa Catarina, de 2007 a 2012, e Ipê em Rio Grande do Sul, de 2011 a 2012. Dentre 20 e 69,2% dos bezerros apresentavam deformidade de membros, caracterizada principalmente por membros anteriores curvos e curtos. Na necropsia as alterações observadas restringiam-se ao encurvamento e engrossamento dos membros e do crânio. Microscopicamente nas articulações úmero-radio-ulnar, foi observado zona hipertrófica desorganizada, irregular e sem alinhamento, além de ausência da zona de crescimento e trabéculas ósseas finas e placa epifisária fechada.(AU)