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中耳颅底骨髓炎作为坏死性外耳道炎的并发症:影像学表现、并发症和诊断挑战。

Central skull base osteomyelitis as a complication of necrotizing otitis externa: Imaging findings, complications, and challenges of diagnosis.

机构信息

Department of Radiology, St Bartholomew's Hospital, St Bartholomew's and the Royal London NHS Trust, West Smithfield, London, UK.

出版信息

Clin Radiol. 2012 Oct;67(10):e7-e16. doi: 10.1016/j.crad.2012.02.004. Epub 2012 Apr 7.

DOI:10.1016/j.crad.2012.02.004
PMID:22483946
Abstract

Central skull base osteomyelitis is a rare, life-threatening complication of necrotizing or "malignant" otitis externa (NOE), which results in destruction of the skull base. The imaging appearances can be misinterpreted as malignancy but consideration of this diagnosis, both radiologically and clinically, is imperative to avoid the need for biopsy. The aim of this review is to highlight the pertinent imaging findings on computed tomography and magnetic resonance imaging as well as the potential complications of this condition.

摘要

颅底中心性骨髓炎是一种罕见的、危及生命的坏死性或“恶性”外耳炎(NOE)并发症,可导致颅底破坏。其影像学表现可能被误诊为恶性肿瘤,但在影像学和临床方面都必须考虑到这种诊断,以避免需要进行活检。本文旨在强调 CT 和 MRI 的相关影像学表现以及该疾病的潜在并发症。

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