Skip to main content

Advertisement

Log in

Endoscopic Transnasal Navigation Guided Treatment of Clivus Abscess in Adult with Mucormycosis: A Rare Report

  • Clinical Report
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. 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

  2. Sie KCY, Glenn MG, Hillel AH (1991) Osteomyelitis of the Skull Base, etiology unknown. Otolaryngol Neck Surg 104:252–256 [CrossRef]

    Article  CAS  Google Scholar 

  3. Chapman PR, Choudhary G, Singhal A (2021) Skull Base Osteomyelitis: a Comprehensive Imaging Review. Am J Neuroradiol 42:404–413 [CrossRef]

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. 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]

    Article  PubMed  Google Scholar 

  5. 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

    Article  PubMed  PubMed Central  Google Scholar 

  6. Nabavizadeh SA, Arastoo V, Avrum NP (2013) Clival osteomyelitis. Pediatr Emerg Care 29(9):1030–1032

    Article  PubMed  Google Scholar 

  7. Johnson AK, Batra PS (2014) Central Skull Base Osteomyelitis: an emerging clinical entity. Laryngoscope 124:1083–1087 [CrossRef]

    Article  PubMed  Google Scholar 

  8. 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]

    Google Scholar 

  9. 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]

    Article  PubMed  Google Scholar 

  10. Michalowicz M, Ramanathan M (2017) Clival osteomyelitis presenting as a skull base mass. J Neurol Surg Rep 78:e93–e95

    Article  PubMed  PubMed Central  Google Scholar 

  11. 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

    Article  PubMed  Google Scholar 

  12. Jáñez F, Barriga LQ, Iñigo TR, Lora FR (2021) Diagnosis of Skull Base Osteomyelitis. Radiographics 41:156–174 [CrossRef]

    Article  Google Scholar 

  13. 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]

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Apurva Lachake.

Ethics declarations

Competing interests

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Conflicts of interest

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests.

All Sources of Financial and Material Support Including the Following

NA.

Consent to Publication

I, Mrs. Surekha Jadhav grant permission to Dr. Apurva Lachake and team for publishing case report in journal. I do not have objection regarding the above mentioned.

Any portion of the contents of the paper may have not been presented or published previously.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

The case report does not involve human participants and/or animals.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-023-04117-1

Keywords

Navigation