Hyperostosis Frontalis Interna

A 73-year-old woman with alcohol use disorder and breast cancer who presented with 2 months of progressive lethargy and generalized weakness initially was suspected of having acute metabolic encephalopathy attributable to alcohol-related liver disease. She ultimately was diagnosed with hyperostosis...

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Bibliographic Details
Main Authors: Toshiaki Takahashi, Chalothorn Wannaphut, Sharina Macapagal, Kyle Deacon
Format: Article
Language:English
Published: American College of Physicians 2024-10-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.0507
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Summary:A 73-year-old woman with alcohol use disorder and breast cancer who presented with 2 months of progressive lethargy and generalized weakness initially was suspected of having acute metabolic encephalopathy attributable to alcohol-related liver disease. She ultimately was diagnosed with hyperostosis frontalis interna, a benign condition potentially contributing to her neurologic symptoms. This case underscores the importance of the recognition of hyperostosis frontalis interna for patients who are postmenopausal presenting with neuropsychologic symptoms and skull abnormalities to prevent misdiagnosis and unnecessary interventions.
ISSN:2767-7664