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

Atmaca M. M., Barlas N., Coban O.

TURKISH JOURNAL OF NEUROLOGY, vol.21, no.1, pp.27-30, 2015 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 1
  • Publication Date: 2015
  • Doi Number: 10.4274/tnd.05945
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.27-30
  • Keywords: Skull base osteomyelitis, external otitis, pseudomonas aeruginosa, internal carotid artery, MALIGNANT EXTERNAL OTITIS, HIGH ACCUMULATION, DIAGNOSIS, BONE, FLUORINE-18-FLUORODEOXYGLUCOSE, MENINGITIS, SECONDARY, MEDIA, PET
  • Istanbul University Affiliated: Yes


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.