Subburaman N, Chaurasia M K
Department of Otolaryngology, Pilgrim Hospital, Boston, UK.
J Laryngol Otol. 1999 Aug;113(8):775-8. doi: 10.1017/s0022215100145189.
Lesions in the skull base may present difficulties in diagnosis primarily because the access needs to be invasive and one has to rely on imaging that may still be misleading. The case presented here illustrates this example in that the patient had abnormalities on computed tomography (CT) and magnetic resonance image (MRI) scans quite convincing of malignancy but which with time proved, essentially through clinical judgment, to be skull base osteomyelitis secondary to malignant external otitis (OME).
颅底病变在诊断上可能存在困难，主要原因是需要进行侵入性检查，而且不得不依赖可能仍具有误导性的影像学检查。本文所呈现的病例说明了这一点，该患者的计算机断层扫描（CT）和磁共振成像（MRI）扫描显示出异常，很有说服力地提示为恶性病变，但随着时间推移，通过临床判断基本上证实是继发于恶性外耳道炎（OME）的颅底骨髓炎。
