Atypical Base of Skull Osteomyelitis Presenting as Bilateral Facial Palsy
Received Date: Nov 08, 2018 / Accepted Date: Dec 06, 2018 / Published Date: Dec 17, 2018
Abstract
Base of skull osteomyelitis is a rare cause of headaches and cranial neuropathies in general, and cranial nerve VII palsy in particular. Both typical and atypical skull base osteomyelitis can have similar presentation and Magnetic Resonance Imaging of the brain is very important to differentiate between them since each is caused by a different organism and requires different treatment. However, bone sampling remains crucial for diagnosis in atypical cases. We hereby report a case of atypical skull base osteomyelitis presenting as bilateral peripheral facial nerve palsy. We also present a new and less invasive diagnostic and therapeutic approach especially when bone sampling is not possible and intravenous empiric treatment cannot be initiated.
Keywords: Aspergillus; Base of skull osteomyelitis; Bilateral facial nerve palsy
Citation: Ibrikji S, Halabi TE, Makki A, Salameh J (2018) Atypical Base of Skull Osteomyelitis Presenting as Bilateral Facial Palsy. J Neuroinfect Dis 9: 282. Doi: 10.4172/2314-7326.1000282
Copyright: © 2018 Ibrikji S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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