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Banik S, Gaikwad M, Deep N. Hyperostosis Frontalis Interna in a Dry Indian Human Skull: A Case Report. Cureus 2023; 15:e34645. [PMID: 36895527 PMCID: PMC9990742 DOI: 10.7759/cureus.34645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/05/2023] [Indexed: 02/07/2023] Open
Abstract
Hyperostosis Frontalis Interna (HFI), a condition that has been sparsely explained till now, is a benign, asymptomatic, and irregular thickening of the endocranium of the frontal bone. It is found to be predominantly present in post-menopausal women during incidental X-ray or CT/MRI of the skull. The prevalence of HFI is documented in different populations, but in the Indian population, it is comparatively rare. Thus, we discuss a serendipitous finding of HFI in an Indian skull. This rare variation was noted in dry Indian human skulls. Gross features of the skull were noted, and it was an adult female skull. The area was decalcified, paraffin-embedded, and stained with Haematoxylin and Eosin. The skull bone was also subjected to plain X-ray/CT investigation. The X-ray skull of 50+ year female type features in anteroposterior and lateral view showed widening of the diploic spaces 8-10 mm with ill-defined hyperdense areas in the frontal region. Changes in computed tomography were noted. HFI often has nonspecific and benign symptoms. However, in severe cases, widespread clinical implications starting from headache, motor aphasia, parkinsonism, and depression can occur, and thus we all should be aware of it.
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Affiliation(s)
- Suranjana Banik
- Anatomy, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Manisha Gaikwad
- Anatomy, All India Institute of Medical Sciences, Bhubaneswar, IND
| | - Nerbadyswari Deep
- Radiology, All India Institute of Medical Sciences, Bhubaneswar, IND
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2
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Varotto E, Cafarelli FP, Maglietta F, Moraes C, Ricci P, Galassi FM. Morpho-radiological and brain endocast analysis in the study of Hyperostosis Frontalis Interna (HFI): A combined approach. PLoS One 2023; 18:e0281727. [PMID: 36877697 PMCID: PMC9987830 DOI: 10.1371/journal.pone.0281727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Accepted: 01/24/2023] [Indexed: 03/07/2023] Open
Abstract
The purpose of this study is to anatomically evaluate the impact on the patient intra vitam of an endocranial condition on a late 20th century skull housed in the Section of Legal Medicine of the University of Foggia (Foggia, Apulia, Italy). After performing a retrospective diagnosis, the condition is framed in the broader context of studies on this pathology. An anthropological and radiological analysis (X-ray and CT scan imaging) made it possible to confirm the preliminary information and to detail the osteological diagnosis of HFI. In order to assess the impact on the cerebral surface of the endocranial growth a 3D endocast was obtained using the Software OrtogOnBlender. The skull is demonstrated to have belonged to a female senile individual known, from limited documentary evidence, to have suffered from a psychiatric condition during her life. The final diagnosis is hyperostosis frontalis interna (HFI), Type D. Although a direct correlation between the demonstrated intracranial bony growth and the onset of the patient's psychiatric condition is difficult to retrospectively ascertain, the pressure exerted on this female individual's frontal lobe may have contributed to further degenerative behavioural changes in the last years of her life. This case adds to previous knowledge, especially from the palaeopathological literature, on this condition and, for the first time, presents a neuroanatomical approach to assess the global impact of the disease.
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Affiliation(s)
- Elena Varotto
- Archaelogy, College of Humanities, Arts and Social Sciences, Flinders University, Adelaide, SA, Australia
- FAPAB Research Center, Avola (SR), Sicily, Italy
- * E-mail:
| | - Francesco Pio Cafarelli
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Apulia, Italy
| | - Francesca Maglietta
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Apulia, Italy
| | - Cícero Moraes
- Ortogonline Treinamento em Desenvolvimento Profissional e Consultoria LTDA, Sinop, MT, Brazil
| | - Pietrantonio Ricci
- Department of Medical and Surgical Sciences, Institute of Legal Medicine, “Magna Graecia” University, Catanzaro, Italy
| | - Francesco Maria Galassi
- Department of Anthropology, Faculty of Biology and Environmental Protection, University of Lodz, Lodz, Poland
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3
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Achimas-Cadariu P, Kubelac P, Irimie A, Berindan-Neagoe I, Rühli F. Evolutionary perspectives, heterogeneity and ovarian cancer: a complicated tale from past to present. J Ovarian Res 2022; 15:67. [PMID: 35659345 PMCID: PMC9164402 DOI: 10.1186/s13048-022-01004-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Accepted: 05/24/2022] [Indexed: 11/21/2022] Open
Abstract
Ovarian cancer is composed of a complex system of cells best described by features such as clonal evolution, spatial and temporal genetic heterogeneity, and development of drug resistance, thus making it the most lethal gynecologic cancer. Seminal work on cancer as an evolutionary process has a long history; however, recent cost-effective large-scale molecular profiling has started to provide novel insights coupled with the development of mathematical algorithms. In the current review, we have systematically searched for articles that focused on the clonal evolution of ovarian cancer to offer the whole landscape of research that has been done and highlight future research avenues given its characteristic features and connections to evolutionary biology.
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Affiliation(s)
- Patriciu Achimas-Cadariu
- Department of Surgery, The Oncology Institute 'Prof. Dr. Ion Chiricuta', 34-36 Republicii street, 400015 , Cluj-Napoca, Romania. .,Department of Oncology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
| | - Paul Kubelac
- Department of Oncology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.,Department of Medical Oncology, The Oncology Institute 'Prof. Dr. Ion Chiricuta', Cluj-Napoca, Romania
| | - Alexandru Irimie
- Department of Surgery, The Oncology Institute 'Prof. Dr. Ion Chiricuta', 34-36 Republicii street, 400015 , Cluj-Napoca, Romania.,Department of Oncology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Ioana Berindan-Neagoe
- Research Centre for Functional Genomics, Biomedicine and Translational Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.,Research Center for Advanced Medicine Medfuture, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.,Department of Functional Genomics and Experimental Pathology, The Oncology Institute 'Prof. Dr. Ion Chiricuta', Cluj-Napoca, Romania
| | - Frank Rühli
- Institute of Evolutionary Medicine, Zurich, Switzerland
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Laffranchi Z, Milella M, Lombardo P, Langer R, Lösch S. Co-occurrence of malignant neoplasm and Hyperostosis Frontalis Interna in an Iron Age individual from Münsingen-Rain (Switzerland): A multi-diagnostic study. Int J Paleopathol 2021; 32:1-8. [PMID: 33176226 DOI: 10.1016/j.ijpp.2020.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 10/28/2020] [Accepted: 10/28/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE To re-analyze one of the oldest cases of malignant bone neoplasm with different analytical techniques. MATERIAL The available skeletal remains of grave 138 (G138) from the Iron Age necropolis of Münsingen-Rain (Switzerland, 420-240 BC). METHODS The bones are analyzed by means of morphological, radiographic, histological, and biogeochemical methods. RESULTS The individual, a male aged between 35-50 years old, presents morphologically and radiographically a previously described coral-like bone neoformation on the proximal left humerus. The new analyses highlight previously undocumented coarse bone proliferation on the left scapula and lobular apposition on the endocranial surface of the frontal bone. The histological analysis of the humerus shows a 'lace-like' pattern of osteoid deposition without lamellation. CONCLUSIONS Our data support a diagnosis of osteoblastic malignant neoplasm, probably an osteosarcoma or, more likely, a dedifferentiated chondrosarcoma for the humerus and scapula, and of hyperostosis frontalis interna on the frontal. The co-presence of a malignant neoplasm and hyperostosis frontalis interna may be related to a hormonal imbalance, a possibility also suggested by atypical funerary treatment. SIGNIFICANCE This study confirms G138 as one of the oldest cases of malignant bone neoplasm, adds new paleopathological data on this individual, and demonstrates the advantages of a multidisciplinary approach. LIMITATIONS The discussion of the pathological changes is limited by the representation and preservation of the skeletal elements. SUGGESTION FOR FUTURE RESEARCH Biomolecular and protein biomarkers analyses may help to refine the diagnostic conclusions.
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Affiliation(s)
- Zita Laffranchi
- Department of Physical Anthropology, Institute of Forensic Medicine, University of Bern. Sulgenauweg 40, CH-3007, Bern Switzerland.
| | - Marco Milella
- Department of Physical Anthropology, Institute of Forensic Medicine, University of Bern. Sulgenauweg 40, CH-3007, Bern Switzerland.
| | - Paolo Lombardo
- Inselspital, Universitätsspital Bern, Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie (DIPR). Freiburgstrasse 10, CH-3010, Bern Switzerland.
| | - Rupert Langer
- Institute of Pathology, University of Bern. Murtenstrasse 31, CH-3008, Bern Switzerland.
| | - Sandra Lösch
- Department of Physical Anthropology, Institute of Forensic Medicine, University of Bern. Sulgenauweg 40, CH-3007, Bern Switzerland.
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Saniotis A, Henneberg M. Anatomical variations and evolution: re-evaluating their importance for surgeons. ANZ J Surg 2020; 91:837-840. [PMID: 33368956 DOI: 10.1111/ans.16429] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 10/18/2020] [Accepted: 10/20/2020] [Indexed: 12/01/2022]
Abstract
For several decades, anatomists and biological anthropologists have made an intensive study in anatomical variations in ancestral and living humans. While many anatomical variants do not require clinical attention, some may present diagnostic problems or augur adverse symptoms. It is only in the last few decades that a plausible argument has been made that anatomical changes in human individuals and lineages demonstrate ongoing microevolution. Since the mid-19th century, there has been a reduction in differential mortality. Increased variation of heritable traits is a consequential outcome of relaxation of natural selection. Consequently, this has contributed to various anatomical variations in musculo-skeletal anatomy, vascular anatomy as well as congenital disorders such as spina bifida occulta. The authors argue that surgeons and anatomists should improve their knowledge of evolution and its continuing influence on human morphology. Simply repeating the old mantra that anatomical variations are important because knowledge of them minimizes surgical complications, albeit important, is inadequate.
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Affiliation(s)
- Arthur Saniotis
- Department of Medical Laboratory Science, College of Science, Knowledge University, Kurdistan Region, Iraq.,Department of Anthropology, Ludwik Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wroclaw, Poland
| | - Maciej Henneberg
- Department of Anthropology, Ludwik Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wroclaw, Poland.,Institute of Evolutionary Medicine, The University of Zürich, Zürich, Switzerland
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Cvetković D, Jadžić J, Milovanović P, Djonić D, Djurić M, Bracanović D, Nikolić S, Živković V. Micro-computed Tomography Study of Frontal Bones in Males and Females with Hyperostosis Frontalis Interna. Calcif Tissue Int 2020; 107:345-352. [PMID: 32712779 DOI: 10.1007/s00223-020-00730-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Accepted: 07/14/2020] [Indexed: 01/12/2023]
Abstract
Hyperostosis frontalis interna (HFI) represents irregular thickening of the endocranial surface of the frontal bone, mostly seen in postmenopausal females. The microarchitecture of this condition is poorly studied. The aim of this cross-sectional autopsy study was to investigate and compare microarchitectural structure of the frontal bone affected with HFI in both sexes and to test whether HFI severity could be distinguished at the microarchitectural level. The sample was taken from human donor cadavers, 19 males (61 ± 15 years old) and 17 females (75 ± 15 years old). After classification of HFI severity (type A, B, C or D), samples of the frontal bone were taken and scanned using micro-computed tomography. Bone volume fraction was higher and total porosity lower only in the outer table of males with HFI, compared to females with HFI. Mean total sample thickness differed only between males with HFI type A and D. Bone microarchitecture between males and females with corresponding HFI types (e.g., male with type A versus female with type A) differed only in HFI type C regarding the fractal dimension of diploe. The degree of anisotropy differed between HFI subtypes in males, but the post hoc analysis revealed no significant differences between individual groups. Other microarchitectural parameters did not differ among males with different HFI subtypes, as well in females, in any part of the frontal bone. There is no difference in microarchitectural structure of the frontal bone between males and females with HFI, in general aspect and within corresponding HFI subtypes. HFI severity could not be distinguished at the microarchitectural level, neither in males nor in females.
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Affiliation(s)
- Danica Cvetković
- Institute of Forensic Medicine, University of Belgrade - School of Medicine, 31a Deligradska Str., Belgrade, 11000, Serbia
| | - Jelena Jadžić
- Laboratory for Anthropology and Skeletal Biology, Institute for Anatomy, University of Belgrade - School of Medicine, Dr. Subotica 4/2, Belgrade, 11000, Serbia
| | - Petar Milovanović
- Laboratory for Anthropology and Skeletal Biology, Institute for Anatomy, University of Belgrade - School of Medicine, Dr. Subotica 4/2, Belgrade, 11000, Serbia
| | - Danijela Djonić
- Laboratory for Anthropology and Skeletal Biology, Institute for Anatomy, University of Belgrade - School of Medicine, Dr. Subotica 4/2, Belgrade, 11000, Serbia
| | - Marija Djurić
- Laboratory for Anthropology and Skeletal Biology, Institute for Anatomy, University of Belgrade - School of Medicine, Dr. Subotica 4/2, Belgrade, 11000, Serbia
| | - Djurdja Bracanović
- Laboratory for Anthropology and Skeletal Biology, Institute for Anatomy, University of Belgrade - School of Medicine, Dr. Subotica 4/2, Belgrade, 11000, Serbia
- Department of Radiology, University of Belgrade - School of Dentistry, 4 Rankeova Str., Belgrade, 11000, Serbia
| | - Slobodan Nikolić
- Institute of Forensic Medicine, University of Belgrade - School of Medicine, 31a Deligradska Str., Belgrade, 11000, Serbia
| | - Vladimir Živković
- Institute of Forensic Medicine, University of Belgrade - School of Medicine, 31a Deligradska Str., Belgrade, 11000, Serbia.
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Galassi FM, Varotto E, Angelici D, Picchi D. Further Paleoradiological Evidence of Frontal Sinus Osteoma in Ancient Egypt. J Craniofac Surg 2020; 31:604-5. [PMID: 32195832 DOI: 10.1097/SCS.0000000000006240] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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8
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Bascou A, Savall F, Vergnault M, Montoriol R, Guilbeau-Frugier C, Maupoint E, El Khal MC, Telmon N. Finding of Hyperostosis Frontalis Interna During the Autopsy Procedure: Forensic Issues. J Forensic Sci 2019; 64:1929-1932. [PMID: 31162647 DOI: 10.1111/1556-4029.14100] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2019] [Revised: 05/12/2019] [Accepted: 05/20/2019] [Indexed: 11/28/2022]
Abstract
Hyperostosis frontalis interna is a common phenomenon, which may have been overrated in its significance in the past, and may, currently be underrated in its significance. We present three cases of hyperostosis frontalis interna found during medicolegal autopsies and discuss their forensic considerations. The patients were all middle-aged women with metabolic and endocrine manifestations and psychiatric ailments; thickening of the inner table of the frontal bone of the skull was found during each autopsy. We describe the relationship between hyperostosis frontalis interna, metabolic manifestations, and neuropsychiatric symptoms as part of Morgagni-Stewart-Morel syndrome. There is still considerable disagreement in the scientific community as to whether this syndrome is a clinical entity. Nonetheless, awareness of Morgagni-Stewart-Morel syndrome can be of help in understanding the circumstances surrounding death. In some other cases, hyperostosis frontalis interna could be used by forensic pathologists as criteria for sexing and aging a skeleton.
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Affiliation(s)
- Agathe Bascou
- Service de médecine légale, Centre Hospitalier Universitaire Rangueil, Avenue du Professeur Jean Poulhès, 31059, Toulouse Cedex 9, France
| | - Frederic Savall
- Service de médecine légale, Centre Hospitalier Universitaire Rangueil, Avenue du Professeur Jean Poulhès, 31059, Toulouse Cedex 9, France
| | - Marion Vergnault
- Service de médecine légale, Centre Hospitalier Universitaire Rangueil, Avenue du Professeur Jean Poulhès, 31059, Toulouse Cedex 9, France
| | - Romain Montoriol
- Service de médecine légale, Centre Hospitalier Universitaire Rangueil, Avenue du Professeur Jean Poulhès, 31059, Toulouse Cedex 9, France
| | - Céline Guilbeau-Frugier
- Service de médecine légale, Centre Hospitalier Universitaire Rangueil, Avenue du Professeur Jean Poulhès, 31059, Toulouse Cedex 9, France
| | - Estelle Maupoint
- Service de radiologie, Centre Hospitalier Universitaire Rangueil, Avenue du Professeur Jean Poulhès, 31059, Toulouse Cedex 9, France
| | - Mohamed Chérif El Khal
- Service de médecine légale, Centre Hospitalier Universitaire Farhat Hached, Rue Ibn Jazzar, 4031, Sousse, Tunisie
| | - Norbert Telmon
- Service de médecine légale, Centre Hospitalier Universitaire Rangueil, Avenue du Professeur Jean Poulhès, 31059, Toulouse Cedex 9, France
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Seiler R, Öhrström LM, Eppenberger P, Gascho D, Rühli FJ, Galassi FM. The earliest known case of frontal sinus osteoma in man. Clin Anat 2019; 32:105-109. [PMID: 30324624 DOI: 10.1002/ca.23301] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 09/30/2018] [Accepted: 10/11/2018] [Indexed: 11/08/2022]
Abstract
Frontal sinus osteoma is a relatively common finding in the modern clinical setting. Although, its paleopathological record is not in dispute, its presence in Ancient Egypt has never been clarified. The aim of this article is to contribute to the debate. An Egyptian mummy head from the Musée d'Éthnographie de Neuchâtel (Switzerland) was studied radiologically and the obtained evidence was contextualized in the wider frame of multidisciplinary paleopathology. A 128-slice CT scanner was used for further investigation; datasets were processed with OsiriX-64 bit (version 5.8.5), and multiplanar (MPR) and volumetric reconstructions were performed. A small hyperdense and well-defined structure, most likely an osteoma, was identified in the right frontal sinus. Frontal sinus osteoma definitely existed in Ancient Egypt. Finally, this represents the oldest case in anatomically modern humans so far reported. Clin. Anat.32:105-109, 2019. © 2018 Wiley Periodicals, Inc.
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Affiliation(s)
- Roger Seiler
- Institute of Evolutionary Medicine, University of Zurich, Zurich 8057, Switzerland
| | - Lena M Öhrström
- Institute of Evolutionary Medicine, University of Zurich, Zurich 8057, Switzerland
| | - Patrick Eppenberger
- Institute of Evolutionary Medicine, University of Zurich, Zurich 8057, Switzerland
| | - Dominic Gascho
- Institute of Forensic Medicine, University of Zurich, Zurich 8057, Switzerland
| | - Frank J Rühli
- Institute of Evolutionary Medicine, University of Zurich, Zurich 8057, Switzerland
| | - Francesco M Galassi
- Institute of Evolutionary Medicine, University of Zurich, Zurich 8057, Switzerland
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10
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Szeniczey T, Marcsik A, Ács Z, Balassa T, Bernert Z, Bakó K, Czuppon T, Endrődi A, Évinger S, Farkas Z, Hlavenková L, Hoppál K, Kálmán Kiss C, Kiss K, Kocsis K, Kovács LO, Kovács PF, Köhler K, Költő L, Kővári I, László O, Lovász G, Lovranits J, Lukács J, Masek Z, Merczi M, Molnár E, Németh CE, Ódor JG, Paja L, Pap I, Patay R, Rácz I, Rácz Z, Ritoók Á, Szenthe G, Szilas G, Szőke BM, Tóth Z, Vida T, Wolff K, Finnegan M, Hajdu T. Hyperostosis frontalis interna in ancient populations from the Carpathian Basin - A possible relationship between lifestyle and risk of development. Int J Paleopathol 2019; 24:108-118. [PMID: 30342349 DOI: 10.1016/j.ijpp.2018.10.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 10/02/2018] [Accepted: 10/03/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE The prevalence of hyperostosis frontalis interna (HFI) was examined in different periods of the Carpathian Basin from 4900 BCE to 17th century AD. The study seeks to evaluate temporal changes in HFI and the possible impact of lifestyle on it. MATERIALS The studied material consisted of 4668 crania from Hungary and Serbia. METHODS The crania were analyzed employing macroscopic and endoscopic examination. RESULTS In historic periods, sex and age played a pivotal role in HFI development. Among predominantly pastoralist populations of the 5th-8th and 10th centuries, prevalence of HFI was considerably higher than in the medieval populations of the 9th-17th centuries. CONCLUSIONS In addition to age and sex, other factors could be implicated in HFI development. The physiological effects of the pastoralist lifestyle and diet on insulin regulation could explain the increased risk of developing HFI in the 5th-8th and 10th-century populations. SIGNIFICANCE The study provides the first comprehensive dataset of HFI from different archaeological periods from the Carpathian Basin. It has implications for lifestyle and risk of HFI development in past populations. LIMITATIONS The archaeological periods are not equally represented. SUGGESTIONS FOR FURTHER RESEARCH In order to better understand the etiology of HFI, lifestyle factors can be used to elucidate the risk of developing HFI in ancient populations.
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Affiliation(s)
- Tamás Szeniczey
- Department of Biological Anthropology, Institute of Biology, Faculty of Science, Eötvös Loránd University, Budapest, H-1117, Hungary.
| | - Antónia Marcsik
- Department of Biological Anthropology, University of Szeged, Szeged, H-6720, Hungary
| | - Zsófia Ács
- Department of Archaeological Excavations and Artefact Processing, Hungarian National Museum, Budapest, H-1088, Hungary
| | | | - Zsolt Bernert
- Department of Anthropology, Hungarian Natural History Museum, Budapest, H-1083, Hungary
| | - Katalin Bakó
- Budavári Ingatlanfejlesztő és Üzemeltető Nonprofit Ltd., Budapest, H-1013, Hungary
| | | | - Anna Endrődi
- Department of Prehistoric and Migration Period, Budapest History Museum, Aquincum Museum and Archaeological Park, H-1014, H-1031, Budapest, Hungary
| | - Sándor Évinger
- Department of Anthropology, Hungarian Natural History Museum, Budapest, H-1083, Hungary
| | | | - Lucia Hlavenková
- Institute for History of Medicine and Foreign Languages, Charles University, Prague, 121 08, Czech Republic
| | - Krisztina Hoppál
- Silk Road Research Group, Hungarian Academy of Sciences-Eötvös Loránd University-Szeged University, Budapest, Hungary
| | | | - Krisztián Kiss
- Department of Biological Anthropology, Institute of Biology, Faculty of Science, Eötvös Loránd University, Budapest, H-1117, Hungary
| | - Kinga Kocsis
- Roska Tamás Doctoral School of Sciences and Technology, Faculty of Information Technology and Bionics, Pázmány Péter Catholic University, Budapest, H-1083, Hungary; Neuronal Network and Behavior Research Group, Institute of Cognitive Neuroscience and Psychology, Research Center for Natural Sciences, Hungarian Academy of Sciences, Budapest, H-1117, Hungary
| | - Loránd Olivér Kovács
- Department of Archaeological Excavations and Artefact Processing, Hungarian National Museum, Budapest, H-1088, Hungary
| | | | - Kitti Köhler
- Institute of Archaeology, Research Centre for the Humanities, Hungarian Academy of Sciences, Budapest, H-1097, Hungary
| | | | - Ivett Kővári
- International Committee of the Red Cross, Geneva, 1202, Switzerland
| | - Orsolya László
- Archaeological Heritage Directorate, Hungarian National Museum, Budapest, H-1113, Hungary
| | | | - Júlia Lovranits
- Department of Biological Anthropology, University of Szeged, Szeged, H-6720, Hungary
| | - József Lukács
- Budavári Ingatlanfejlesztő és Üzemeltető Nonprofit Ltd., Budapest, H-1013, Hungary
| | - Zsófia Masek
- Institute of Archaeology, Research Centre for the Humanities, Hungarian Academy of Sciences, Budapest, H-1097, Hungary
| | | | - Erika Molnár
- Department of Biological Anthropology, University of Szeged, Szeged, H-6720, Hungary
| | - Csilla Emese Németh
- Department of Medical Chemistry, Molecular Biology and Pathobiochemistry, Semmelweis University, Budapest, H-1094, Hungary
| | | | - László Paja
- Department of Biological Anthropology, University of Szeged, Szeged, H-6720, Hungary
| | - Ildikó Pap
- Department of Anthropology, Hungarian Natural History Museum, Budapest, H-1083, Hungary
| | - Róbert Patay
- Ferenczy Museum Center, Szentendre, H-2000, Hungary
| | - István Rácz
- Department of Biological Anthropology, Institute of Biology, Faculty of Science, Eötvös Loránd University, Budapest, H-1117, Hungary; Department of Archaeometry and Archaeological Methodology, Institute of Archaeological Sciences, Eötvös Loránd University, Budapest, H-1088, Hungary
| | - Zsófia Rácz
- Department of Early Medieval and Historical Archaeology, Institute of Archaeological Sciences, Eötvös Loránd University, Budapest, H-1088, Hungary
| | - Ágnes Ritoók
- Department of Archaeology, Hungarian National Museum, Budapest, H-1088, Hungary
| | - Gergely Szenthe
- Department of Archaeology, Hungarian National Museum, Budapest, H-1088, Hungary
| | - Gábor Szilas
- Department of Prehistoric and Migration Period, Budapest History Museum, Aquincum Museum and Archaeological Park, H-1014, H-1031, Budapest, Hungary
| | - Béla Miklós Szőke
- Institute of Archaeology, Research Centre for the Humanities, Hungarian Academy of Sciences, Budapest, H-1097, Hungary
| | - Zoltán Tóth
- Dobó István Castle Museum, Eger, H-3300, Hungary
| | - Tivadar Vida
- Department of Early Medieval and Historical Archaeology, Institute of Archaeological Sciences, Eötvös Loránd University, Budapest, H-1088, Hungary
| | - Katalin Wolff
- Department of Early Medieval and Historical Archaeology, Institute of Archaeological Sciences, Eötvös Loránd University, Budapest, H-1088, Hungary
| | - Michael Finnegan
- Department of Sociology, Anthropology and Social Work, Kansas State University, Manhattan, KS, 66506, USA
| | - Tamás Hajdu
- Department of Biological Anthropology, Institute of Biology, Faculty of Science, Eötvös Loránd University, Budapest, H-1117, Hungary.
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Riccomi G, Minozzi S, Pantano W, Catalano P, Aringhieri G, Giuffra V. Paleopathological evidence of paranasal lesions: Two cases of frontal sinus osteomata from Imperial Rome. Int J Paleopathol 2018; 20:60-64. [PMID: 29496217 DOI: 10.1016/j.ijpp.2017.12.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Revised: 12/22/2017] [Accepted: 12/25/2017] [Indexed: 06/08/2023]
Abstract
The archaeological excavations carried out in 1999 in the Collatina necropolis of the Roman Imperial Age (1st-3rd centuries AD) (Rome, Italy) discovered the skeletal remains of two adult males with evidence of paranasal lesions. Both individuals showed postmortem damage in the frontal bone, through which it was possible to macroscopically detect an oblong new bone formation. In both specimens, radiological examination of the defects' morphology showed new pediculated-based bone formations. Radiology also confirmed the presence of benign osseous masses arising from the right frontal sinus and interpreted as osteomata. Their dimensions did not exceed 10 mm, so that mechanical complications and compression of the adjacent structures could be ruled out. The osteomata of paranasal sinuses are rarely reported in paleopathology, since they can be discovered only incidental to bone breakage or radiography. Hence, the evaluation of their occurrence in past populations represents an important challenge. The two cases presented here show direct and rare evidence of frontal sinus osteomata dating back to the Roman Imperial Age.
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Affiliation(s)
- Giulia Riccomi
- Division of Paleopathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Italy.
| | - Simona Minozzi
- Division of Paleopathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Italy
| | - Walter Pantano
- Special Superintendence for Archaeology, Arts and Landscape Heritage of Rome, Service of Anthropology, Rome, Italy
| | - Paola Catalano
- Special Superintendence for Archaeology, Arts and Landscape Heritage of Rome, Service of Anthropology, Rome, Italy
| | - Giacomo Aringhieri
- Diagnostic and Interventional Radiology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Italy
| | - Valentina Giuffra
- Division of Paleopathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Italy; Center for Anthropological, Paleopathological and Historical Studies of the Sardinian and Mediterranean populations, Department of Biomedical Sciences, University of Sassari, Italy
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12
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Abstract
The field of evolutionary medicine uses evolutionary principles to understand changes in human anatomy and physiology that have occurred over time in response to environmental changes. Through this evolutionary-based approach, we can understand disease as a consequence of anatomical and physiological "trade-offs" that develop to facilitate survival and reproduction. We demonstrate how diachronic study of human anatomy and physiology is fundamental for an increased understanding of human health and disease.
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Affiliation(s)
- Frank Rühli
- Institute of Evolutionary Medicine, University of Zurich, Zurich, Switzerland;
| | - Katherine van Schaik
- Institute of Evolutionary Medicine, University of Zurich, Zurich, Switzerland; Harvard Medical School and Harvard Department of the Classics, Harvard University, Cambridge, Massachusetts; and
| | - Maciej Henneberg
- Institute of Evolutionary Medicine, University of Zurich, Zurich, Switzerland; Adelaide Medical School, The University of Adelaide, Adelaide, Australia
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13
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Western AG, Bekvalac JJ. Hyperostosis frontalis interna in female historic skeletal populations: Age, sex hormones and the impact of industrialization. Am J Phys Anthropol 2016; 162:501-515. [PMID: 27901271 DOI: 10.1002/ajpa.23133] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2016] [Revised: 11/02/2016] [Accepted: 11/05/2016] [Indexed: 11/05/2022]
Abstract
OBJECTIVES This analysis aims to investigate the impact of industrialization on the prevalence of Hyperostosis Frontalis Interna (HFI), focusing on the roles of age and parity to examine the claim that longevity and changing reproductive patterns have led to increased rates in modern populations. MATERIALS AND METHODS A total of 138 individuals from two documented London skeletal assemblages of the Industrial period were analyzed employing macroscopic observation, digital radiography and MicroCT scanning to establish the prevalence rates of HFI according to modern clinical standards. Statistical analysis was also undertaken on a sub-sample of 51 females of post-menopausal age to identify any relationship between parity and HFI. RESULTS The majority of cases of HFI were found in older females, reflecting clinical observations. The prevalence rates of HFI corresponded well to those predicted from the proportion of old age females present within populations. Age was therefore shown to be a predominant factor in HFI presence. A plateau in HFI prevalence was noted from the age of 50-59 years onwards. No statistically significant relationship was found between parity and HFI. DISCUSSION When recorded consistently, HFI was positively correlated with age and longevity but had also increased among old age females over time. Our results suggest that nulliparity co-occurs with HFI but is not a primary factor in its pathogenesis. Key factors in HFI presence in females are likely to be increased androgens and the dysregulation of insulin and insulin-like growth factor-1.
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Affiliation(s)
- A G Western
- Centre for Human Bioarchaeology, Museum of London, London, England
| | - J J Bekvalac
- Centre for Human Bioarchaeology, Museum of London, London, England
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Márquez S, Lawson W, Mowbray K, Delman BN, Laitman JT. CT Examination of Nose and Paranasal Sinuses of Egyptian Mummies and Three Distinct Human Population Groups: Anthropological and Clinical Implications. Anat Rec (Hoboken) 2016; 298:1072-84. [PMID: 25998641 DOI: 10.1002/ar.23159] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2014] [Accepted: 01/15/2015] [Indexed: 02/03/2023]
Abstract
The interaction of nasal morphology and climatic conditions has resulted in diverse hard- and soft-tissue configurations across human population groups. While the processes of skull pneumatization are not fully understood, the invasions of the paranasal sinuses [PNS] into the cranium have contributed to assorted morphologies. Human migratory patterns and the strong association with climatic variables through time and space may explain this diversity. This study examined four multiregional populations of which two are from Egypt but of widely divergent eras. Three Egyptian mummies [EG-M] from the middle kingdom were CT scanned providing a unique opportunity to investigate the status of PNS anatomy within a time frame from 1567 BCE to 600 CE and compare it to a contemporary Egyptian [EG] (n = 12) population. Dry skulls of Inuit [IT] (n = 10) and East African [EA] (n = 8) provide out-group comparisons, as one group represents an isolated geographic environment far different from that of Egypt and the other group inhabiting distinct environmental conditions albeit located within the same continent. Results showed EG-M and EG frontal sinus volumes were diminutive in size with no statistically significant difference between them. Maxillary sinus size values of EG-M and EG clustered together while IT and EA significantly differed from each other (P = 0.002). The multiregional groups exhibited population specific morphologies in their PNS anatomy. Ecogeographic localities revealed anatomical differences among IT and EA, while the potential time span of about 3,500 years produced only a negligible difference between the Egyptian groups. The small sample sizes incorporated into this research requires confirmation of the results by analyses of larger samples from each geographic region and with the integration of a larger group of Egyptian mummified remains.
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Affiliation(s)
- Samuel Márquez
- Department of Cell Biology, SUNY Downstate Medical Center, Brooklyn, New York.,Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York
| | - William Lawson
- Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Kenneth Mowbray
- Division of Anthropology, American Museum of Natural History, New York, New York
| | - Bradley N Delman
- Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Jeffrey T Laitman
- Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York.,Center for Anatomy and Functional Morphology, Icahn School of Medicine at Mount Sinai, New York, New York.,New York Consortium in Evolutionary Primatology (NYCEP), New York, New York.,Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York
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15
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Garralda MD, Maureille B, Vandermeersch B. Hyperostosis frontalis interna in a Neandertal from Marillac (Charente, France). J Hum Evol 2014; 67:76-84. [DOI: 10.1016/j.jhevol.2013.12.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2010] [Revised: 11/12/2013] [Accepted: 12/10/2013] [Indexed: 11/17/2022]
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16
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Shahin AA, Alhoseiny S, Aldali M. Hyperostosis frontalis interna: An Egyptian case referred to the second dynasty (2890–2650BC) from Tarkhan-Egypt. The Egyptian Rheumatologist 2014. [DOI: 10.1016/j.ejr.2013.08.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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17
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Abstract
Evolutionary medicine (EM) is a growing field focusing on the evolutionary basis of human diseases and their changes through time. To date, the majority of EM studies have used pure theories of hominin macroevolution to explain the present-day state of human health. Here, we propose a different approach by addressing more empirical and health-oriented research concerning past, current and future microevolutionary changes of human structure, functions and pathologies. Studying generation-to-generation changes of human morphology that occurred in historical times, and still occur in present-day populations under the forces of evolution, helps to explain medical conditions and warns clinicians that their current practices may influence future humans. Also, analyzing historic tissue specimens such as mummies is crucial in order to address the molecular evolution of pathogens, of the human genome, and their coadaptations.
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Affiliation(s)
- Frank Jakobus Rühli
- Centre for Evolutionary Medicine, Institute of Anatomy, University of Zurich, Winterthurerstrasse 190, Zürich, 8057, Switzerland.
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18
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Raikos A, Paraskevas GK, Yusuf F, Kordali P, Meditskou S, Al-haj A, Brand-saberi B. Etiopathogenesis of hyperostosis frontalis interna: A mystery still. Ann Anat 2011; 193:453-8. [DOI: 10.1016/j.aanat.2011.05.004] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2011] [Revised: 04/28/2011] [Accepted: 05/07/2011] [Indexed: 11/20/2022]
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Belcastro MG, Todero A, Fornaciari G, Mariotti V. Hyperostosis frontalis interna (HFI) and castration: the case of the famous singer Farinelli (1705-1782). J Anat 2011; 219:632-7. [PMID: 21740437 DOI: 10.1111/j.1469-7580.2011.01413.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The famous castrato singer Farinelli (1705-1782) was exhumed by our research group in July 2006 for the purpose of gaining some insight into his biological profile through a study of his skeletal remains. Farinelli was castrated before puberty to preserve the treble pitch of the boy's voice into adult life. His powerful and sweet voice became legendary. In spite of its bad preservation state, the skeleton displayed some interesting characteristics that are probably related to the effects of castration, including long limb-bones, persistence of epiphyseal lines and osteoporosis. In particular, the frontal bone was affected by severe hyperostosis frontalis interna (HFI). This condition consists in a symmetrical thickening of the inner table of the bone. The epidemiology of HFI shows that it is relatively common in postmenopausal women but very rare in men. Men affected by this pathology suffer from diseases, syndromes or treatments causing androgen deficiency. In the case of Farinelli, castration was probably responsible for the onset and development of this lesion.
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Affiliation(s)
- Maria Giovanna Belcastro
- Laboratory of Bioarchaeology and Forensic Osteology, Department of Experimental Evolutionary Biology, Alma Mater Studiorum University of Bologna, Bologna, Italy.
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Flohr S, Witzel C. Hyperostosis frontalis interna – A marker of social status? Evidence from the Bronze-Age “high society” of Qatna, Syria. HOMO 2011; 62:30-43. [DOI: 10.1016/j.jchb.2010.12.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2010] [Accepted: 12/07/2010] [Indexed: 11/20/2022]
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21
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Nikolić S, Djonić D, Z̆ivković V, Babić D, Juković F, Djurić M. Rate of Occurrence, Gross Appearance, and Age Relation of Hyperostosis Frontalis Interna in Females. Am J Forensic Med Pathol 2010; 31:205-7. [DOI: 10.1097/paf.0b013e3181d3dba4] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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22
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Hajdu T, Fóthi E, Bernert Z, Molnár E, Lovász G, Ko˝vári I, Köhler K, Marcsik A. Appearance of hyperostosis frontalis interna in some osteoarcheological series from Hungary. HOMO 2009; 60:185-205. [DOI: 10.1016/j.jchb.2008.07.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2008] [Accepted: 07/16/2008] [Indexed: 10/20/2022]
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Talarico EF, Prather AD, Hardt KD. A case of extensive hyperostosis frontalis interna in an 87-year-old female human cadaver. Clin Anat 2008; 21:259-68. [DOI: 10.1002/ca.20613] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Abstract
Two cases of thickening of the internal tables of the frontal bones (hyperostosis frontalis interna, (HFI)) have been examined. These were two female skeletons from the 16th century Dominican Church in Raciborz (Southwest Poland). The similarity of their morphological and metrical traits indicates that they could be related, and suggests that HFI is likely to have a genetic base. These two skeletons are the subject of an analysis which may possibly throw some new light on the controversial and continually disputed nature of this illness.
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Affiliation(s)
- H Glab
- Department of Anthropology, Institute of Zoology, Jagiellonian University, 30-060 Krakow, Poland.
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Mulhern DM, Wilczak CA, Dudar JC. Brief communication: Unusual finding at Pueblo Bonito: Multiple cases of hyperostosis frontalis interna. Am J Phys Anthropol 2006; 130:480-4. [PMID: 16444722 DOI: 10.1002/ajpa.20396] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Hyperostosis frontalis interna (HFI) is a disease characterized by excess bone growth on the internal lamina of the frontal bone and, occasionally, other cranial bones. Although the disease is fairly common in modern populations, its etiology is poorly understood. Hyperostosis frontalis interna has been identified in antiquity, primarily in the Old World, but with a much lower frequency than in modern groups. The purpose of the present study is to report multiple cases of HFI at Pueblo Bonito (Chaco Canyon, New Mexico). Twelve out of 37 adults with observable frontal bones exhibited HFI, ranging from mild to severe, including 11 females and one male. This is the first published case report of HFI in archaeological remains from the New World having a frequency comparable with modern groups. Most archaeological cases of HFI are isolated, so comparative data for multiple cases at one site are rare. The results of this study emphasize the importance of looking for HFI in archaeological remains, although it is rarely observed. Possible genetic and environmental factors for the high frequency of HFI at Chaco Canyon are considered, but additional research is needed to discover the etiology and to better understand why HFI sometimes occurs at modern frequencies in ancient populations.
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Affiliation(s)
- Dawn M Mulhern
- Department of Anthropology, National Museum of Natural History, Smithsonian Institution, Washington, DC 20560, USA.
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