title: Skull base osteomyelitis presenting with an isolated hypoglossal nerve palsy.
abstract: This is the first case of skull base osteomyelitis presenting with isolated bilateral hypoglossal nerve palsy reported in the literature. A 75-year-old man presented with tongue paralysis without any other cranial nerve palsy. He was otherwise well apart from recently having a high prostate-specific antigen level recorded. Investigations for malignancy or cerebrovascular insult were negative with the diagnosis of skull base osteomyelitis confirmed using CT. Following treatment with intravenous antibiotics for 6 weeks, symptoms resolved.
authors.affiliation: Department of Acute Medicine, Yorkshire and Humber Deanery, Wetherby, UK. kasfiki_eirini@hotmail.com
authors.forename: Eirini Vasileiou
authors.initials: EV
authors.lastname: Kasfiki
authors.forename: Ciaran
authors.initials: C
authors.lastname: Kelly
authors.forename: John
authors.initials: J
authors.lastname: Smith
authors.forename: Andreas
authors.initials: A
authors.lastname: Nicolaides
mesh_terms: D000368:Aged; D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000209:etiology; D008297:Male; D010019:Osteomyelitis / Q000150:complications / Q000175:diagnosis*; D019291:Skull Base