Abstract
Osteomyelitis and abscess of the clivus are rare conditions thought to arise from contiguous spread of infection from the paranasal sinuses. Clival osteomyelitis is a rare potentially life-threatening skull base infection which is generally challenging to diagnose and treat. It is typically seen in the pediatric population and is very rare in the adult population. The exact pathophysiology of osteomyelitis of the clivus is relatively uncertain. Here, we describe a case of a 32-year-old immunocompetent female with a primary complaint of headache, with no significant medical history of diabetes, hypertension or rhinosinusitis or SARS COV-2 for the past 18 months. This case report demonstrates an image-guided and endoscopic approach to surgical localization and treatment of abscesses in the clival area.
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Pott P Observations on the Nature and Consequences of those Injuries to which the Head is liable from external violence: to which are added, some few General Remarks on Fractures and Dislocations; Printed for L. Hawes, W. Clarke, R.; Collins: London, UK, 1768
Sie KCY, Glenn MG, Hillel AH (1991) Osteomyelitis of the Skull Base, etiology unknown. Otolaryngol Neck Surg 104:252–256 [CrossRef]
Chapman PR, Choudhary G, Singhal A (2021) Skull Base Osteomyelitis: a Comprehensive Imaging Review. Am J Neuroradiol 42:404–413 [CrossRef]
Mortazavi MM, Khan MA, Quadri SA, Suriya SS, Fahimdanesh KM, Fard SA, Hassanzadeh T, Taqi MA, Grossman H, Tubbs RS (2018) Cranial osteomyelitis: a Comprehensive Review of Modern Therapies. World Neurosurg 111:142–153 [CrossRef]
Khan MA, Quadri SAQ, Kazmi AS et al (2018) A comprehensive review of skull base osteomyelitis: diagnostic and therapeutic challenges among various presentations. Asian J Neurosurg 13(4):959–970
Nabavizadeh SA, Arastoo V, Avrum NP (2013) Clival osteomyelitis. Pediatr Emerg Care 29(9):1030–1032
Johnson AK, Batra PS (2014) Central Skull Base Osteomyelitis: an emerging clinical entity. Laryngoscope 124:1083–1087 [CrossRef]
Chen J-C, Yeh C-F, Shiao A-S, Tu T-Y (2014) Temporal bone osteomyelitis: the relationship with malignant Otitis Externa, the Diagnostic Dilemma, and changing Trends. Sci World J 2014:591714 [CrossRef]
Rubin Grandis J, Branstetter BF, Yu VL (2004) The changing Face of Malignant (Necrotising) External Otitis: clinical, radiological, and anatomic correlations. Lancet Infect Dis 4:34–39 [CrossRef] [PubMed]
Michalowicz M, Ramanathan M (2017) Clival osteomyelitis presenting as a skull base mass. J Neurol Surg Rep 78:e93–e95
Ridder GJ, Breunig C, Kaminsky J, Pfeiffer J (2015) Central skull base osteomyelitis: new insights and implications for diagnosis and treatment. Eur Arch Otorhinolaryngol 272:1269–1276
Jáñez F, Barriga LQ, Iñigo TR, Lora FR (2021) Diagnosis of Skull Base Osteomyelitis. Radiographics 41:156–174 [CrossRef]
Czech MM, Hwang PH, Colevas AD, Fischbein N, Ho DY (2022) Skull Base Osteomyelitis in patients with Head and Neck Cancer: diagnosis, management, and outcomes in a Case Series of 23 patients. Laryngoscope Investig Otolaryngology 7:47–59 [CrossRef]
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Gotecha, S., Chugh, A., Punia, P. et al. Endoscopic Transnasal Navigation Guided Treatment of Clivus Abscess in Adult with Mucormycosis: A Rare Report. Indian J Otolaryngol Head Neck Surg 76, 1066–1070 (2024). https://doi.org/10.1007/s12070-023-04117-1
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DOI: https://doi.org/10.1007/s12070-023-04117-1