Two Cases of Skull Base Osteomyelitis in Elderly Patients after Mastoidectomy.
- Author:
Gunhwee YUM
1
;
Hyun Su JUN
;
Soon Young KWON
;
Hyung Jin JUN
;
June CHOI
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Korea University Medical Center, Ansan, Korea. mednlaw@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Osteomyelitis;
Skull base;
Mastoidectomy;
Cranial nerve palsy
- MeSH:
Aged;
Anti-Bacterial Agents;
Cranial Nerve Diseases;
Cranial Nerves;
Diabetes Mellitus, Type 1;
Headache;
Humans;
Meningitis;
Osteomyelitis;
Paralysis;
Pons;
Rare Diseases;
Sinusitis;
Skull;
Skull Base
- From:Korean Journal of Audiology
2011;15(1):37-40
- CountryRepublic of Korea
- Language:English
-
Abstract:
Skull base osteomyelitis (SBO) is a rare disease and may develop as a complication of paranasal sinusitis or other regional infectious process. The characteristic symptom of SBO is headache and paralysis of cranial nerve. A potentially life-threatening disease, it requires aggressive antibiotic treatment. We present 2 cases of SBO. One case who were not immunocompromised or diabetics had paralysis of lower cranial nerves. The patient was effectively treated with complete mastoidectomy and antibiotics, so had a complete recovery. But, the other patient who were insulin-dependent diabetes mellitus was died due to meningitis and pons palsy.
