Sphenoid bone dysplasia - a case of unresolved headache in primary care

Said, Abdul Hadi and Tg Arif @ Tg Zainuddin, Tg Putri Syarizan (2022) Sphenoid bone dysplasia - a case of unresolved headache in primary care. Malaysian Journal of Medical Research (MJMR), 6 (1). pp. 5-8. ISSN 2550-1607

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Abstract

Headache is a very common presenting symptom in patients seeking treatment in primary care. Although most of it is primary headache, physicians may easily miss the diagnosis of secondary headache. Therefore, we need to equip ourselves with adequate knowledge together with a good and thorough physical examination to avoid missing a diagnosis of secondary headache. In addition to that, for a patient presenting with chronic headache, it is very important for us to always review our diagnosis and our management. We reported a case of sphenoid bone fibrous dysplasia who presented with severe recurrent headache despite being given treatment, analgesics and even propranolol for migraine. Fibrous dysplasia accounts for approximately 5 to 7 percent of benign bone tumours. He presented to the primary care clinic multiple times before the imaging was ordered. Subsequent MRI showed fibrous dysplasia of the right lesser wing of the sphenoid bone. After the surgery, the headache improved as well as his quality of life.

Item Type:	Article (Journal)
Additional Information:	6765/97347
Uncontrolled Keywords:	Headache, MRI, Bone Tumours, Sphenoid Bone Fibrous, Migraine
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011) Kulliyyah of Medicine
Depositing User:	SR NUR FARHANA LATFI
Date Deposited:	25 Mar 2022 10:36
Last Modified:	25 Mar 2022 10:36
URI:	http://irep.iium.edu.my/id/eprint/97347

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