title: SPECT/CT in the Diagnosis of Skull Base Osteomyelitis.
abstract: Skull base osteomyelitis is a potentially fatal disease. We demonstrate here the utility of SPECT/CT in diagnosing this entity, which was not obvious on a planar bone scan. A (99m)Tc MDP bone scan with SPECT/CT was carried out on a patient with clinically suspected skull base osteomyelitis. Findings were correlated with contrast-enhanced CT (CECT) and MRI. Planar images were equivocal, but SPECT/CT showed intense uptake in the body of sphenoid and petrous temporal bone as well as the atlas corresponding to irregular bone destruction on CT and MRI. These findings indicate that SPECT/CT may have an additional role beyond planar imaging in the detection of skull base osteomyelitis.
authors.affiliation: Department of Nuclear Medicine, All India Institute of Medical Sciences, Room no. 59 A, A.I.I.M.S, New Delhi, 110029 India.
authors.forename: Nishikant Avinash
authors.initials: NA
authors.lastname: Damle
authors.affiliation: Department of Nuclear Medicine, All India Institute of Medical Sciences, Room no. 59 A, A.I.I.M.S, New Delhi, 110029 India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Kumar
authors.affiliation: Department of Nuclear Medicine, All India Institute of Medical Sciences, Room no. 59 A, A.I.I.M.S, New Delhi, 110029 India.
authors.forename: Praveen
authors.initials: P
authors.lastname: Kumar
authors.affiliation: Department of Radiology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sriram
authors.initials: S
authors.lastname: Jaganathan
authors.affiliation: Department of Nuclear Medicine, All India Institute of Medical Sciences, Room no. 59 A, A.I.I.M.S, New Delhi, 110029 India.
authors.forename: Manish
authors.initials: M
authors.lastname: Patnecha
authors.affiliation: Department of Nuclear Medicine, All India Institute of Medical Sciences, Room no. 59 A, A.I.I.M.S, New Delhi, 110029 India.
authors.forename: Chandrasekhar
authors.initials: C
authors.lastname: Bal
authors.affiliation: Department of Nuclear Medicine, All India Institute of Medical Sciences, Room no. 59 A, A.I.I.M.S, New Delhi, 110029 India.
authors.forename: Gurupad
authors.initials: G
authors.lastname: Bandopadhyaya
authors.affiliation: Department of Nuclear Medicine, All India Institute of Medical Sciences, Room no. 59 A, A.I.I.M.S, New Delhi, 110029 India.
authors.forename: Arun
authors.initials: A
authors.lastname: Malhotra
keywords: Bone scan; SPECT/CT; Skull base osteomyelitis