Korean J Audiol.
2011 Apr;15(1):37-40.
Two Cases of Skull Base Osteomyelitis in Elderly Patients after Mastoidectomy
- Affiliations
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- 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.