Naidu M R, Reddy D R, Sastry K V, Reddy P K
Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, AP, India.
Clin Neurol Neurosurg. 1987;89(4):265-7. doi: 10.1016/s0303-8467(87)80027-6.
Osteomyelitis of the skull is an uncommon disease in the present days, mainly due to the advent of modern and more effective antibiotics. Hematogenous osteomyelitis is very rare. Osteomyelitis of the skull is usually not associated with sclerosis which is commonly seen in the rest of the skeleton. There are only few occasional case reports of condensing osteomyelitis wherein there was sclerosis of the bone associated with osteomyelitis of the skull and epidural abscess. An unusual case of diffuse condensing osteomyelitis of the skull producing unilateral proptosis is reported. The clinical, radiological features and microbiological aspects are presented. The proptosis was treated by excision of the bone behind the eyeball and thus relieving the proptosis and the impaired vision. The patient was given broad spectrum antibiotics for a period of two months. Further management problems are discussed.
如今，颅骨骨髓炎是一种罕见疾病，主要归因于现代更有效的抗生素的出现。血源性骨髓炎非常罕见。颅骨骨髓炎通常不伴有在骨骼其他部位常见的骨质硬化。仅有少数关于致密性骨髓炎的病例报告，其中颅骨骨髓炎和硬膜外脓肿伴有骨质硬化。本文报告了一例罕见的颅骨弥漫性致密性骨髓炎导致单侧眼球突出的病例。介绍了其临床、放射学特征及微生物学情况。通过切除眼球后方的骨头治疗眼球突出，从而缓解了眼球突出和视力受损的问题。患者接受了两个月的广谱抗生素治疗。还讨论了进一步的治疗问题。
