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Skull Base Osteomyelitis Presenting with Facial Paralysis, Low Cranial Nerve Palsies and Bilateral Carotid Involvement: A Case Report [Turk J Neurol]
Turk J Neurol. 2015; 21(1): 27-30 | DOI: 10.4274/tnd.05945  

Skull Base Osteomyelitis Presenting with Facial Paralysis, Low Cranial Nerve Palsies and Bilateral Carotid Involvement: A Case Report

Murat Mert Atmaca, Nilüfer Yeşilot Barlas, Oğuzhan Çoban
İstanbul University Faculty of Medicine, Department of Neurology, İstanbul, Turkey

Skull base osteomyelitis (SBO) typically presents with severe otalgia and unilateral otorrhea in immune-compromised, particularly in elderly diabetic patients. Skull base osteomyelitis usually presents with external otitis but it can also occur as a complication of acute otitis media and mastoiditis. Complications of SBO are venous sinus thrombosis, meningitis, abscess, cranial neuropathies and carotid invasion with or without ischemic stroke. Here we report a case with SBO presenting with facial paralysis, lower cranial nerve palsies and bilateral carotid involvement which occurred following sore throat and bilateral otalgia.

Keywords: Skull base osteomyelitis, external otitis, pseudomonas aeruginosa, internal carotid artery


Murat Mert Atmaca, Nilüfer Yeşilot Barlas, Oğuzhan Çoban. Skull Base Osteomyelitis Presenting with Facial Paralysis, Low Cranial Nerve Palsies and Bilateral Carotid Involvement: A Case Report. Turk J Neurol. 2015; 21(1): 27-30

Corresponding Author: Murat Mert Atmaca, Türkiye


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