Korean J Audiol.  2011 Apr;15(1):37-40.

Two Cases of Skull Base Osteomyelitis in Elderly Patients after Mastoidectomy

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Korea University Medical Center, Ansan, Korea. mednlaw@korea.ac.kr

Abstract

Skull base osteomyelitis (SBO) is a rare disease and may develop as a complication of paranasal sinusitis or other regional infectious process. The characteristic symptom of SBO is headache and paralysis of cranial nerve. A potentially life-threatening disease, it requires aggressive antibiotic treatment. We present 2 cases of SBO. One case who were not immunocompromised or diabetics had paralysis of lower cranial nerves. The patient was effectively treated with complete mastoidectomy and antibiotics, so had a complete recovery. But, the other patient who were insulin-dependent diabetes mellitus was died due to meningitis and pons palsy.

Keyword

Osteomyelitis; Skull base; Mastoidectomy; Cranial nerve palsy

MeSH Terms

Aged
Anti-Bacterial Agents
Cranial Nerve Diseases
Cranial Nerves
Diabetes Mellitus, Type 1
Headache
Humans
Meningitis
Osteomyelitis
Paralysis
Pons
Rare Diseases
Sinusitis
Skull
Skull Base
Anti-Bacterial Agents
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