Osteomyelitis of the Skull Base
| Autor: | Solomon Batnitzky, Paul L. O'Boynick, Frank P. Holladay, Dewey K. Ziegler, J. P. Hubble, David G. Malone |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Diagnostic Imaging Male medicine.medical_specialty Sphenoid bone Gallium Radioisotopes Mastoiditis Gallium 67 scan Meningitis Bacterial Immunocompromised Host Postoperative Complications Recurrence Sphenoid Bone Biopsy Staphylococcus epidermidis Humans Medicine Pseudomonas Infections Infusions Intravenous Radionuclide Imaging medicine.diagnostic_test Otitis Media with Effusion business.industry Osteomyelitis Occipital bone Magnetic resonance imaging Middle Aged Staphylococcal Infections medicine.disease Magnetic Resonance Imaging Cranial Nerve Diseases Anti-Bacterial Agents Surgery Skull medicine.anatomical_structure Diabetes Mellitus Type 2 Occipital Bone Heart Transplantation Drug Therapy Combination Neurology (clinical) Radiology Osteitis Tomography X-Ray Computed business Follow-Up Studies |
| Zdroj: | Neurosurgery. 30:426-431 |
| ISSN: | 1524-4040 0148-396X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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