Central Skull Base Osteomyelitis Causing Bilateral Hypoglossal Nerve Palsy.
- Author:
Jun Sang SUNWOO
1
;
Yoori SON
;
Hye Jin MOON
;
Hong Kyun PARK
;
Yoon Ho HONG
Author Information
1. Department of Neurology, Seoul National University Boramae Hospital, Seoul, Korea. nrhong@gmail.com
- Publication Type:Case Report
- Keywords:
Hypoglossal nerve palsy;
Skull base
- MeSH:
Acute-Phase Proteins;
Anti-Bacterial Agents;
Cranial Fossa, Posterior;
Hematologic Tests;
Humans;
Hypoglossal Nerve;
Hypoglossal Nerve Diseases;
Leukocytosis;
Magnetic Resonance Imaging;
Middle Aged;
Osteomyelitis;
Paralysis;
Skull;
Skull Base;
Tongue
- From:Journal of the Korean Neurological Association
2010;28(4):311-314
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bilateral hypoglossal nerve palsy is a rare clinical presentation. We report a case of central skull base osteomyelitis (SBO) presenting with complete tongue paralysis in a 53-year-old man who was not diabetic or immunocompromised. Magnetic resonance imaging demonstrated characteristic features including abnormal contrast enhancement in the clivus (T1-weighted images). Blood tests revealed elevated acute-phase reactants and leukocytosis, which prompted prolonged antibiotic treatment. He responded well to the antibiotics, which together with typical clinical and imaging findings led to the diagnosis of bacterial SBO.
