Clivus and cervical spinal osteomyelitis with epidural abscess presenting with multiple cranial neuropathies
| Autor: | Monique L. Giroux, Stephen G. Waxman, Pierre B. Fayad, S. Ausim Azizi, Robert K. Fulbright |
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| Rok vydání: | 1995 |
| Předmět: |
Diagnostic Imaging
Epidural Space Male medicine.medical_specialty Epidural abscess Ceftazidime Drug Administration Schedule Anti-Infective Agents Ptosis Clivus Ciprofloxacin medicine Humans Cranial nerve disease Pleocytosis Aged Neurologic Examination medicine.diagnostic_test business.industry Lumbar puncture Nerve Compression Syndromes Osteomyelitis General Medicine medicine.disease Abscess Cranial Nerve Diseases Epidural space Cephalosporins Surgery medicine.anatomical_structure Cranial Fossa Posterior Drug Therapy Combination Neurology (clinical) medicine.symptom business |
| Zdroj: | Clinical Neurology and Neurosurgery. 97:239-244 |
| ISSN: | 0303-8467 |
| DOI: | 10.1016/0303-8467(95)00036-j |
| Popis: | A 65-year-old diabetic man with a history of otitis was admitted with headache, neck and shoulder pain and cranial nerve abnormalities including sixth, seventh and twelfth nerve palsies, hearing loss and ptosis. Lumbar puncture revealed an elevated CSF protein and pleocytosis. Imaging procedures demonstrated osteomyelitis of the clivus that involved the epidural space and extended within the prevertebral space to the cervical spine. The patient improved after treatment with antibiotics and immobilization of the neck. This case illustrates the importance of recognizing infections of the clivus in patients with cranial nerve abnormalities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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