Skull base osteomyelitis

Case contributed by Dr Paresh K Desai

Presentation

Lower cranial neuropathy in a 45 year old male with bilateral ear discharge. Non-diabetic, no known immune compromise state. There was restriction of jaw movements on examination

Patient Data

Age: 45
Gender: Male
Modality: MRI

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Case Discussion

Extensive enhancement of the skull base, with associated soft tissue, involvement of the right zygomatic arch and the pterygoid muscles on the right.

The temporomandibular joint on the right side is also involved.

There was otitis media on both sides.

Patient steadily improved with antibiotic therapy.

Final Diagnosis: Skull base osteomyelitis and right TMJ septic arthritis

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Case Information

rID: 10861
Case created: 28th Sep 2010
Last edited: 19th Dec 2015
Inclusion in quiz mode: Included

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