J Korean Neurol Assoc.  2010 Nov;28(4):311-314.

Central Skull Base Osteomyelitis Causing Bilateral Hypoglossal Nerve Palsy

Affiliations
  • 1Department of Neurology, Seoul National University Boramae Hospital, Seoul, Korea. nrhong@gmail.com

Abstract

Bilateral hypoglossal nerve palsy is a rare clinical presentation. We report a case of central skull base osteomyelitis (SBO) presenting with complete tongue paralysis in a 53-year-old man who was not diabetic or immunocompromised. Magnetic resonance imaging demonstrated characteristic features including abnormal contrast enhancement in the clivus (T1-weighted images). Blood tests revealed elevated acute-phase reactants and leukocytosis, which prompted prolonged antibiotic treatment. He responded well to the antibiotics, which together with typical clinical and imaging findings led to the diagnosis of bacterial SBO.

Keyword

Hypoglossal nerve palsy; Skull base

MeSH Terms

Acute-Phase Proteins
Anti-Bacterial Agents
Cranial Fossa, Posterior
Hematologic Tests
Humans
Hypoglossal Nerve
Hypoglossal Nerve Diseases
Leukocytosis
Magnetic Resonance Imaging
Middle Aged
Osteomyelitis
Paralysis
Skull
Skull Base
Tongue
Acute-Phase Proteins
Anti-Bacterial Agents
Full Text Links
  • JKNA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr