Osteomyelitis of the skull base.

Abstract:

:Three cases of osteomyelitis of the skull base with associated problems in diagnosis and therapy are discussed. Patients with atypical skull base osteomyelitis are difficult to diagnose as they have no ear abnormalities, but they often develop multiple cranial nerve deficits mimicking symptoms of a posterior fossa mass. We conclude that computed tomographic scans, magnetic resonance imaging studies, bone scans indium-labeled white blood cell scans, and gallium scans are useful in making the diagnosis. A biopsy of the bony lesion often is needed to identify the causative organism and to rule out a tumor. Intravenously administered antibiotics are the mainstay of therapy and should be continued until 1 week after the gallium scan shows no abnormalities. Follow-up gallium scans then are done at 1 week and 3 months after the cessation of antibiotic therapy to search for a recurrence.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Malone DG,O'Boynick PL,Ziegler DK,Batnitzky S,Hubble JP,Holladay FP

doi

10.1227/00006123-199203000-00021

keywords:

subject

Has Abstract

pub_date

1992-03-01 00:00:00

pages

426-31

issue

3

eissn

0148-396X

issn

1524-4040

journal_volume

30

pub_type

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