scholarly journals Skull Base Osteomyelitis: A Diagnostic Dilemma

Cureus ◽  
2021 ◽  
Author(s):  
Munira Ally ◽  
Hadyn Kankam ◽  
Abdul Qureshi ◽  
Arcot Maheshwar
Keyword(s):  
Skull Base ◽  
Diagnostic Dilemma ◽  
Skull Base Osteomyelitis

scholarly journals A diagnostic dilemma of central skull base osteomyelitis mimicking neoplasia in a diabetic patient

2013 ◽  
Vol 2013 (jan25 1) ◽  
pp. bcr2012007183-bcr2012007183 ◽  
Author(s):  
A. D. Ganhewa ◽  
J. Kuthubutheen
Keyword(s):  
Diabetic Patient ◽  
Skull Base ◽  
Diagnostic Dilemma ◽  
Skull Base Osteomyelitis

scholarly journals Rare case of a 3-year-old with Candida skull base osteomyelitis: lessons to be learnt

2019 ◽  
Vol 12 (4) ◽  
pp. e228026 ◽  
Author(s):  
Johan Bastianpillai ◽  
Sidrah Chaudhry ◽  
Ananth Vijendren
Keyword(s):  
Skull Base ◽  
Rare Case ◽  
Rare Condition ◽  
Good Effect ◽  
Microbiological Analysis ◽  
Diagnostic Dilemma ◽  
Skull Base Osteomyelitis ◽  
Cortical Mastoidectomy ◽  
Ct Head ◽  
Initial Improvement

Skull base osteomyelitis (SBO) is a serious and rare condition most commonly seen in elderly diabetic or immunocompromised patients as a complication of otitis externa. We present the case of a previously healthy 3-year-old girl who presented to the paediatric emergency department with vomiting, fever, lethargy, headache and left-sided facial nerve palsy. The initial CT head revealed left-sided otitis media with otomastoiditis and she was managed with intravenous antibiotics and myringotomy with grommet insertion with initial improvement. Two weeks later she re-presented having deteriorated and a dedicated mastoid CT and temporal bone MRI showed SBO. She underwent urgent cortical mastoidectomy where microbiological analysis of the cultures and specimen grew Candida albicans. She was subsequently treated with long-term antifungals and antibiotics, and eventually recovered with good effect. The diagnostic dilemma and the empirical treatment of such a rare case are discussed.

Central Skull Base Osteomyelitis—Diagnosis and Treatment

Skull Base ◽  
2007 ◽  
Vol 17 (S 2) ◽  
Author(s):  
Nevo Margalit ◽  
Oren Cavel ◽  
Roee Landsberg ◽  
Ziv Gil ◽  
Dan Fliss
Keyword(s):  
Skull Base ◽  
Diagnosis And Treatment ◽  
Skull Base Osteomyelitis

scholarly journals Insidious onset of headache, diplopia and Horner’s syndrome: a rare case of petrous bone osteomyelitis

2019 ◽  
Vol 12 (9) ◽  
pp. e231062
Author(s):  
Simon Biart ◽  
Janki Panicker
Keyword(s):  
Skull Base ◽  
Inflammatory Markers ◽  
Unusual Case ◽  
Petrous Bone ◽  
Skull Base Osteomyelitis ◽  
Unilateral Headache ◽  
Gradual Onset ◽  
Insidious Onset ◽  
Signal Change ◽  
Sixth Nerve

We present an unusual case of skull base osteomyelitis in an 88-year-old woman. She presented with gradual onset unilateral headache and diplopia. On examination, there was evidence of a left-sided Horner’s and ipsilateral sixth nerve palsy. In addition to persistent raised inflammatory markers, an MRI neck identified signal change in the petrous bone confirming a diagnosis of skull base osteomyelitis. Skull base osteomyelitis should be considered in presentations of subacute raised inflammatory markers in the context of ipsilateral cranial nerve signs.

scholarly journals Fatal invasive otitis with skull base osteomyelitis caused by Saksenaea vasiformis

QJM ◽  
2018 ◽  
Vol 111 (7) ◽  
pp. 499-500 ◽  
Author(s):  
E Marechal ◽  
F Barry ◽  
F Dalle ◽  
L Basmaciyan ◽  
S Valot ◽  
...  
Keyword(s):  
Skull Base ◽  
Skull Base Osteomyelitis

scholarly journals Bleeding Mass in the Ear: A Rare Etiology

2015 ◽  
Vol 7 (3) ◽  
pp. 144-146
Author(s):  
John Mathew ◽  
Vinu Moses ◽  
Ann Mary Augustine ◽  
Bassin Thomas John ◽  
Anjali Lepcha
Keyword(s):  
Carotid Artery ◽  
Skull Base ◽  
External Auditory Canal ◽  
External Carotid Artery ◽  
External Carotid ◽  
Skull Base Osteomyelitis

ABSTRACT We report a case of a 63 years old man who presented with a profusely bleeding mass in the left external auditory canal. He had been diagnosed to have left skull base osteomyelitis and had undergone surgery twice for the same. The mass was diagnosed radiologically to be a pseudoaneurysm arising from the left retroauricular artery. He subsequently underwent embolization of the retroauricular branch of the left external carotid artery following which the mass subsided and bleeding from the ear stopped. How to cite this article John BT, Augustine AM, Lepcha A, Mathew J, Moses V. Bleeding Mass in the Ear: A Rare Etiology. Int J Otorhinolaryngol Clin 2015;7(3):144-146.

scholarly journals Extensive skull base osteomyelitis, devastating complication of otitis externa: A case report and review of the literature

2021 ◽  
Vol 2 (3) ◽  
pp. 1-7
Author(s):  
Khadija El Bouhmadi ◽  
◽  
Myriam Loudghiri ◽  
Youssef Oukessou ◽  
Sami Rouadi ◽  
...  
Keyword(s):  
Skull Base ◽  
Otitis Externa ◽  
Delayed Diagnosis ◽  
Petrous Bone ◽  
Term Treatment ◽  
Skull Base Osteomyelitis ◽  
Long Term Treatment ◽  
Orbital Wall ◽  
The Right

Skull base osteomyelitis (SBO), also referred to as malignant otitis externa (MOE) in its typical form, is usually a complication of otitis externa and severe uncommon and life-threatening condition requiring early diagnosis and long-term treatment in order to avoid its neurologic sequelae. We report the case of 69 years old female with a history of uncontrolled type 2 diabetes, who presented refractory and chronic right-sided purulent otorrhea with temporal headaches for 6 months, treated with no improvement by multiple attempts of ambulatory empiric therapy. After the appearance of grade III facial palsy and painful swelling in the right periorbital and zygomatic areas, the patient consulted in our department where a CT scan showed massive cortical and trabecular destruction of the right petrous bone and the mastoid extended to the lateral orbital wall, the zygomatic arch and the greater sphenoid wing realising extensive osteomyelitis of the skull base and the lateral face. The treatment was started immediately based on intravenous broad-spectrum antibiotics. Despite aggressive long-term treatment, the patient passed away, underlying the increased SBO morbidity and mortality secondary to delayed diagnosis.

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