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
Neurosurgeryjournal_title
Neurosurgeryauthors
Malone DG,O'Boynick PL,Ziegler DK,Batnitzky S,Hubble JP,Holladay FPdoi
10.1227/00006123-199203000-00021keywords:
subject
Has Abstractpub_date
1992-03-01 00:00:00pages
426-31issue
3eissn
0148-396Xissn
1524-4040journal_volume
30pub_type
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