Biart Simon, Panicker Janki
Acute Medicine, Arrowe Park Hospital, UK.
Diabetes and Endocrine, Royal Liverpool and Broadgreen Hospitals NHS Trust, Liverpool, UK.
BMJ Case Rep. 2019 Sep 18;12(9):e231062. doi: 10.1136/bcr-2019-231062.
We present an unusual case of skull base osteomyelitis in an 88-year-old woman. She presented with gradual onset unilateral headache and diplopia. On examination, there was evidence of a left-sided Horner's and ipsilateral sixth nerve palsy. In addition to persistent raised inflammatory markers, an MRI neck identified signal change in the petrous bone confirming a diagnosis of skull base osteomyelitis. Skull base osteomyelitis should be considered in presentations of subacute raised inflammatory markers in the context of ipsilateral cranial nerve signs.
我们报告了一例88岁女性的罕见颅底骨髓炎病例。她表现为逐渐出现的单侧头痛和复视。检查时，有左侧霍纳氏征和同侧第六脑神经麻痹的迹象。除了炎症标志物持续升高外，颈部磁共振成像（MRI）显示岩骨信号改变，确诊为颅底骨髓炎。在同侧颅神经体征的情况下，出现亚急性炎症标志物升高时应考虑颅底骨髓炎。
