Hyperostosis frontalis interna

Changed by Yuranga Weerakkody, 24 Jan 2014

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Hyperostosis frontalis interna is characterised by benign overgrowth of the inner table of the frontal bone. It is seen most commonly in older females. The aetiology is unknown.  The condition is generally of no clinical significance and an incidental finding.  It is typically bilateral and symmetrical, and may extend to involve the parietal bones. The skull thickening may be sessile or nodular, and may affect the bone in a focal or diffuse manner. 

The importance of this condition stems mainly from the necessity of not mistaking it for pathology. (see below)

Hyperostosis calvariae diffusa and hyperostosis fronto-parietalis are related entities.

Associations

It is part of the triad of Morgagni syndrome.

Differential Diagnosis

The differential is that of hyperostosis of the skull and includes:

  • -<p><strong>Hyperostosis frontalis interna</strong> is characterised by benign overgrowth of the inner table of the frontal bone. It is seen most commonly in older females. The aetiology is unknown.  The condition is generally of no clinical significance and an incidental finding.  It is typically bilateral and symmetrical, and may extend to involve the parietal bones. The skull thickening may be sessile or nodular, and may affect the bone in a focal or diffuse manner. </p><p>The importance of this condition stems mainly from the necessity of not mistaking it for pathology. (see below)</p><p><a href="/articles/hyperostosis-calvariae-diffusa">Hyperostosis calvariae diffusa</a> and <a href="/articles/hyperostosis_fronto-parietalis">hyperostosis fronto-parietalis</a> are related entities.</p><h5>Associations</h5><p>It is part of the triad of <a href="/articles/morgagni-syndrome">Morgagni syndrome</a>.</p><h4>Differential Diagnosis</h4><p>The differential is that of <a href="/articles/hyperostosis_of_the_skull">hyperostosis of the skull</a> and includes:</p><ul>
  • -<li><a href="/articles/pagets-disease-of-bone-1">Paget's disease</a></li>
  • +<p><strong>Hyperostosis frontalis interna</strong> is characterised by benign overgrowth of the inner table of the frontal bone. It is seen most commonly in older females. The aetiology is unknown.  The condition is generally of no clinical significance and an incidental finding.  It is typically bilateral and symmetrical, and may extend to involve the parietal bones. The skull thickening may be sessile or nodular, and may affect the bone in a focal or diffuse manner. </p><p>The importance of this condition stems mainly from the necessity of not mistaking it for pathology. (see below)</p><p><a href="/articles/hyperostosis-calvariae-diffusa">Hyperostosis calvariae diffusa</a> and <a href="/articles/hyperostosis-fronto-parietalis">hyperostosis fronto-parietalis</a> are related entities.</p><h5>Associations</h5><p>It is part of the triad of <a href="/articles/morgagni-syndrome">Morgagni syndrome</a>.</p><h4>Differential Diagnosis</h4><p>The differential is that of <a href="/articles/hyperostosis-of-the-skull">hyperostosis of the skull</a> and includes:</p><ul>
  • +<li><a href="/articles/paget-disease-of-bone-2">Paget's disease</a></li>
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Image 7 CT (bone window) ( create )

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