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Case Reports
. 2017 Apr;78(2):e93-e95.
doi: 10.1055/s-0037-1602130. Epub 2017 Jun 6.

Clival Osteomyelitis Presenting as a Skull Base Mass

Matthew Michalowicz  1 , Murugappan Ramanathan Jr  2
Affiliations
Case Reports

Clival Osteomyelitis Presenting as a Skull Base Mass

Matthew Michalowicz et al. J Neurol Surg Rep. 2017 Apr.

Abstract

Central skull base osteomyelitis is a rare, but potentially life-threatening disease entity often lacking otologic symptoms or external auditory canal pathology. We present a case of a man in his 70s who had developed cranial nerve deficits with radiographic evidence that was consistent with a tumor due to this uncommon entity. The radiologic findings and our experience are discussed to increase awareness in the otolaryngology community.

Keywords: central skull base osteomyelitis; clival osteomyelitis; skull base mass; skull base osteomyelitis.

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Figures

Fig. 1
Fig. 1
Preoperative endoscopy of the nasopharynx. Image shows mucopus and granular mass with disruption of mucosal surface.
Fig. 2
Fig. 2
Axial T1-MRI postgadolinium showing increased uptake of contrast throughout clivus. MRI, magnetic resonance imaging.
Fig. 3
Fig. 3
Sagittal T1-MRI postgadolinium showing increased uptake of contrast throughout clivus. MRI, magnetic resonance imaging.
See this image and copyright information in PMC

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