Skull Base Osteomyelitis Presenting with Facial Paralysis, Low Cranial Nerve Palsies and Bilateral Carotid Involvement: A Case Report

Atmaca M. M., Barlas N., Coban O.

TURKISH JOURNAL OF NEUROLOGY, cilt.21, sa.1, ss.27-30, 2015 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 1
  • Basım Tarihi: 2015
  • Doi Numarası: 10.4274/tnd.05945
  • Dergi Adı: TURKISH JOURNAL OF NEUROLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.27-30
  • Anahtar Kelimeler: Skull base osteomyelitis, external otitis, pseudomonas aeruginosa, internal carotid artery, MALIGNANT EXTERNAL OTITIS, HIGH ACCUMULATION, DIAGNOSIS, BONE, FLUORINE-18-FLUORODEOXYGLUCOSE, MENINGITIS, SECONDARY, MEDIA, PET
  • İstanbul Üniversitesi Adresli: Evet

Özet

Skull base osteomyelitis (SBO) typically presents with severe otalgia and unilateral otorrhea in immune-compromised, particularly in elderly diabetic patients. Skull base osteomyelitis usually presents with external otitis but it can also occur as a complication of acute otitis media and mastoiditis. Complications of SBO are venous sinus thrombosis, meningitis, abscess, cranial neuropathies and carotid invasion with or without ischemic stroke. Here we report a case with SBO presenting with facial paralysis, lower cranial nerve palsies and bilateral carotid involvement which occurred following sore throat and bilateral otalgia.