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. 2014:2014:369867.
doi: 10.1155/2014/369867. Epub 2014 Jun 15.

A Case of Transient, Isolated Cranial Nerve VI Palsy due to Skull Base Osteomyelitis

Brijesh Patel  1 , Anas Souqiyyeh  1 , Ammar Ali  2
Affiliations

A Case of Transient, Isolated Cranial Nerve VI Palsy due to Skull Base Osteomyelitis

Brijesh Patel et al. Case Rep Infect Dis. 2014.

Abstract

Otitis externa affects both children and adults. It is often treated with topical antibiotics, with good clinical outcomes. When a patient fails to respond to the treatment, otitis externa can progress to malignant otitis externa. The common symptoms of skull bone osteomyelitis include ear ache, facial pain, and cranial nerve palsies. However, an isolated cranial nerve is rare. Herein, we report a case of 54-year-old female who presented with left cranial nerve VI palsy due to skull base osteomyelitis which responded to antibiotic therapy.

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Figures

Figure 1
Figure 1
This image shows extraocular movements before and after the treatment.
Figure 2
Figure 2
The CT scan shows nonspecific density in the temporal bone without bony erosion (red arrow).
Figure 3
Figure 3
The MRI shows enhancement in the temporal bone region equivocal for inflammation and infection (blue arrow).
Figure 4
Figure 4
(a) The Gallium-67 scan before the treatment confirms the diagnosis of left SBO (red arrow). (b) The repeated Gallium-67 scan shows the resolution of the left SBO (green arrow).
See this image and copyright information in PMC

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