KoreaMed, a service of the Korean Association of Medical Journal Editors (KAMJE), provides access to articles published in Korean medical, dental, nursing, nutrition and veterinary journals. KoreaMed records include links to full-text content in Synapse and publisher web sites.
Osteopathia striata with cranial sclerosis (OS-CS) is a bone dysplasia characterized by a linear striated pattern of sclerosis, especially in the long bones, and cranial sclerosis. It has variable clinical findings but distinctive radiological findings. Multiple oral and dental findings have been associated with this disease and can be seen during dental and/or medical imaging of the head and neck. Dentists and clinicians must be familiar with these signs to differentiate them from pathosis or erroneous radiographs. In the following case, we present a patient with OS-CS that presented at The University of Florida College of Dentistry with multiple craniofacial manifestations of this syndrome that were seen on a panoramic radiograph, which is one of the most commonly requested radiographs by dentists.
Fig. 1
A. In 2016, there is an increased bone mass of the cranium displayed as multiple lobulated, homogeneous radiopaque entities superimposing the maxilla, temporomandibular joints, sphenoid, and temporal bones. B. In 2017, the visualized cortical outline of the maxilla and mandible appeared dense, thickened and sclerotic.
4. Vasiljevic A, Azzi C, Lacalm A, Combourieu D, Collardeau-Frachon S, Dijoud F, et al. 2015; Prenatal diagnosis of osteopathia striata with cranial sclerosis. Prenat Diagn. 35:302–4.
https://doi.org/10.1002/pd.4513
. DOI: 10.1002/pd.4513. PMID: 25284440. Article
5. Zicari AM, Tarani L, Perotti D, Papetti L, Nicita F, Liberati N, et al. 2012; WTX R353X mutation in a family with osteopathia striata and cranial sclerosis (OS-CS): case report and literature review of the disease clinical, genetic and radiological features. Ital J Pediatr. 38:27.
https://doi.org/10.1186/1824-7288-38-27
. DOI: 10.1186/1824-7288-38-27. PMID: 22716240. PMCID: PMC3416731. Article
6. Hague J, Delon I, Brugger K, Martin H, Sparnon L, Simonic I, et al. 2017; Male child with somatic mosaic osteopathia striata with cranial sclerosis caused by a novel pathogenic AMER1 frameshift mutation. Am J Med Genet A. 173:1931–5.
https://doi.org/10.1002/ajmg.a.38261
. DOI: 10.1002/ajmg.a.38261. PMID: 28497491. Article
9. Enomoto Y, Tsurusaki Y, Harada N, Aida N, Kurosawa K. 2018; Novel AMER1 frameshift mutation in a girl with osteopathia striata with cranial sclerosis. Congenit Anom. 58:145–6.
https://doi.org/10.1111/cga.12258
. DOI: 10.1111/cga.12258. PMID: 28990699. Article
11. Ward LM, Rauch F, Travers R, Roy M, Montes J, Chabot G, et al. 2004; Osteopathia striata with cranial sclerosis: clinical, radiological, and bone histological findings in an adolescent girl. Am J Med Genet A. 129A:8–12.
https://doi.org/10.1002/ajmg.a.30107
. DOI: 10.1002/ajmg.a.30107. PMID: 15266607. Article
13. Koudstaal MJ, Wolvius EB, Ongkosuwito EM, van der Wal KG. 2008; Surgically assisted rapid maxillary expansion in two cases of osteopathia striata with cranial sclerosis. Cleft Palate Craniofac J. 45:337–42.
https://doi.org/10.1597/07-016
. DOI: 10.1597/07-016. PMID: 18452358. Article