Central Skull Base Osteomyelitis Causing Bilateral Hypoglossal Nerve Palsy
Journal of the Korean Neurological Association
;
: 311-314, 2010.
Article
in Korean
| WPRIM
| ID: wpr-190871
ABSTRACT
Bilateral hypoglossal nerve palsy is a rare clinical presentation. We report a case of central skull base osteomyelitis (SBO) presenting with complete tongue paralysis in a 53-year-old man who was not diabetic or immunocompromised. Magnetic resonance imaging demonstrated characteristic features including abnormal contrast enhancement in the clivus (T1-weighted images). Blood tests revealed elevated acute-phase reactants and leukocytosis, which prompted prolonged antibiotic treatment. He responded well to the antibiotics, which together with typical clinical and imaging findings led to the diagnosis of bacterial SBO.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteomyelitis
/
Paralysis
/
Skull
/
Tongue
/
Acute-Phase Proteins
/
Magnetic Resonance Imaging
/
Skull Base
/
Cranial Fossa, Posterior
/
Hypoglossal Nerve Diseases
/
Hematologic Tests
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Neurological Association
Year:
2010
Type:
Article
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