Bare right orbit - sphenoid dysplasia due to neurofibromatosis (type 1)

Discussion:

This is a bone dysplasia allowing the frontal lobe to herniate, not a bone erosion due to en plaque meningioma, neurofibroma or other tumor. Note in this case the innominate line (tangential greater wing of sphenoid) remains intact. It is the lesser wing of sphenoid (arrow on the left) that is dysplastic letting the frontal rather than the more typical temporal lobe to herniate.

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