Skull base osteomyelitis interpreted as malignancy.
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).
Subburaman
N
N
Department of Otolaryngology, Pilgrim Hospital, Boston, UK.
Chaurasia
M K
MK
D000368:Aged; D003937:Diagnosis, Differential; D004428:Ear Neoplasms / Q000175:diagnosis*; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010019:Osteomyelitis / Q000175:diagnosis*; D010032:Otitis Externa / Q000150:complications*; D019291:Skull Base; D014057:Tomography, X-Ray Computed