A Case of Central Skull Base Osteomyelitis Concurrent with Multiple Lower Cranial Nerve Palsies.
10.3342/kjorl-hns.2014.57.7.489
- Author:
Seul Gi KWAK
1
;
Dae Jin SAH
;
Yoon Jung KIM
;
Seung Woo KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Veterans Health Service Medical Center, Seoul, Korea. entzzang1020@hanmail.net
- Publication Type:Case Report
- Keywords:
Multiple cranial neuropathy;
Osteomyelitis;
Skull base
- MeSH:
Aged;
Anti-Bacterial Agents;
Brain Stem;
Cranial Fossa, Posterior;
Cranial Nerve Diseases*;
Cranial Nerves;
Debridement;
Ear Canal;
Ear, Middle;
Facial Pain;
Hand;
Headache;
Humans;
Mortality;
Osteomyelitis*;
Otitis Externa;
Paranasal Sinuses;
Skull Base*;
Vocal Cord Paralysis
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2014;57(7):489-492
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In most cases, skull base osteomyelitis arises from infections of external auditory canal, middle ear or paranasal sinuses. On the other hand, atypical or central skull base osteomyelitis has no evidence of external otitis or other infection sources. It is often found located on clivus and involves lower cranial nerves and brainstem through the foramina of skull base. The overall rate of mortality reaches 10% and long-term neurologic sequelae are seen in additional 31% of cases regardless of aggressive treatment. We recently encountered a 68-year-old man with right facial pain and generalized headache, and we achieved good outcome with the recovery of vocal cord palsy and disappearance of headache by surgical debridement and long-term antibiotics. We report it with a review of literature.
