Clivus and cervical spinal osteomyelitis with epidural abscess presenting with multiple cranial neuropathies

S. Ausim Azizi, Pierre B Fayad, Robert Fulbright, Monique L. Giroux, Stephen G. Waxman

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

A 65-year-old diabetic man with a history of otitis was admitted with headache, neck and shoulder pain and cranial nerve abnormalities including sixth, seventh and twelfth nerve palsies, hearing loss and ptosis. Lumbar puncture revealed an elevated CSF protein and pleocytosis. Imaging procedures demonstrated osteomyelitis of the clivus that involved the epidural space and extended within the prevertebral space to the cervical spine. The patient improved after treatment with antibiotics and immobilization of the neck. This case illustrates the importance of recognizing infections of the clivus in patients with cranial nerve abnormalities.

Original languageEnglish (US)
Pages (from-to)239-244
Number of pages6
JournalClinical Neurology and Neurosurgery
Volume97
Issue number3
DOIs
StatePublished - Jan 1 1995

Fingerprint

Epidural Abscess
Posterior Cranial Fossa
Cranial Nerve Diseases
Cranial Nerves
Osteomyelitis
Epidural Space
Otitis
Shoulder Pain
Spinal Puncture
Neck Pain
Leukocytosis
Hearing Loss
Paralysis
Immobilization
Headache
Spine
Neck
Anti-Bacterial Agents
Infection
Proteins

Keywords

  • Clivus
  • Cranial neuropathies
  • Epidural abscess
  • Osteomyelitis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Clivus and cervical spinal osteomyelitis with epidural abscess presenting with multiple cranial neuropathies. / Ausim Azizi, S.; Fayad, Pierre B; Fulbright, Robert; Giroux, Monique L.; Waxman, Stephen G.

In: Clinical Neurology and Neurosurgery, Vol. 97, No. 3, 01.01.1995, p. 239-244.

Research output: Contribution to journalArticle

Ausim Azizi, S. ; Fayad, Pierre B ; Fulbright, Robert ; Giroux, Monique L. ; Waxman, Stephen G. / Clivus and cervical spinal osteomyelitis with epidural abscess presenting with multiple cranial neuropathies. In: Clinical Neurology and Neurosurgery. 1995 ; Vol. 97, No. 3. pp. 239-244.
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