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Navigating the complexity of skull base osteomyelitis: a case study and comprehensive review.
J Surg Case Rep
May 2024
Neuroradiology Department, Specialty Hospital of Rabat, Rue Lamfadel Cherkaoui Rabat - Institut B.P 6527, Morocco.
Skull base osteomyelitis is a rare and life-threatening infection of the skull base, commonly seen in elderly diabetic patients as a result of otogenic or paranasal infection. The diagnosis is based on a series of arguments, including a high clinical suspicion, imaging findings, negative biopsies for malignancy, and microbiological isolation. Complications, including abscess formation and vascular involvement, mandate a multidisciplinary treatment approach, primarily involving broad-spectrum antibiotics and surgical debridement, but the prognosis is usually poor.
View Article and Find Full Text PDFCerebral sinovenous thrombosis associated with head/neck infection in children: Clues for improved management.
Dev Med Child Neurol
February 2023
Paediatric Neurology Department, APHP, University Hospital Necker-Enfants Malades, Paris, France.
Aim: To compare paediatric patients with cerebral sinovenous thrombosis (CSVT) with and without head/neck infection to improve management of the condition.
Method: We conducted a bicentric retrospective study of consecutive children (neonates excluded) with radiologically confirmed CSVT, comparing children with a concurrent head/neck infection and children with other causes.
Results: A total of 84 consecutive patients (46 males and 38 females) with a median age of 4 years 6 months (range 3 months-17 years 5 months) were included.
Intracranial otogenic complications in adults: new factors that influenced its onset, frequency and nature.
J Otolaryngol Head Neck Surg
March 2022
Department of Otolaryngology, Head and Neck Surgery, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355, Poznan, Poland.
Article Synopsis
- The study compares clinical features of patients with intracranial otogenic complications admitted during the "pre-COVID-19" period and the "COVID-19" period, focusing on sigmoid sinus thrombosis (CVST).
- A retrospective analysis was performed on patient documentation from a tertiary referral otolaryngology department, showing an increase in intracranial complications and CVST during the COVID-19 period compared to pre-COVID.
- Results indicated that out of 14 intracranial complications, 5 occurred before COVID and 9 during the pandemic, with a significantly higher rate of CVST cases in the COVID cohort, suggesting CVST may be more common amidst COVID-19 infections.
A Rare Complication of Chronic Otitis Media: Central Skull Base Osteomyelitis Managed With Combined Endoscopic Transmastoid and Transsphenoidal Debridement.
Otol Neurotol
March 2022
Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
Objective: This report describes a case of otogenic central skull base osteomyelitis (CSBO) requiring complex surgical intervention and reviews the literature on management of this entity.
Patient: A 76-year-old man presented with a nearly 20-year history of chronic otomastoiditis and cholesteatoma with ultimate progression to severe CSBO with involvement of the petrous apex, clivus, and craniocervical junction.
Interventions: CSBO was managed with culture-directed antibiotic therapy, hyperbaric oxygen, and surgical intervention including serial combined endoscopic transmastoid and transsphenoidal debridements.
Extensive Pneumocephalus Secondary to Petrous Bone Cholesteatoma.
Ear Nose Throat J
April 2024
Department of Otolaryngology-Head and Neck Surgery, Chosun University College of Medicine, Gwangju, South Korea.
Pneumocephalus refers to air inside the cranium; however, otogenic pneumocephalus is rarely reported in the literature. The neurological presentations of pneumocephalus include headache, lethargy, confusion, disorientation, and seizure. Here, we have reported a case of a 42-year-old woman with extensive pneumocephalus and cerebrospinal fluid leak secondary to petrous bone cholesteatoma.
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