TY - JOUR T1 - Delayed diagnosis of odontoid peg osteomyelitis with bilateral X and XII cranial nerve palsies JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-227943 VL - 12 IS - 3 SP - e227943 AU - Faisal Bashir Chaudhry AU - Samavia Raza AU - Usman Ahmad Y1 - 2019/03/01 UR - http://casereports.bmj.com/content/12/3/e227943.abstract N2 - Upper cervical osteomyelitis is rare. Its presenting features are fever and neck pain, but rarely it can involve lower nerves. MRI is the main imaging modality, but it is difficult to interpret due to the unique anatomy of C1 and C2 vertebra and complex intervertebral joint. We describe a case of a 67-year-old woman, who presented with the complaint of loss of voice, neck pain and fever for 5 days. Despite repeated imaging of neck, the diagnosis was not reached. As the patient’s condition continued to deteriorate, clinical signs of bilateral 10th and 12th cranial nerve paralysis appeared and lead to a focused workup for base of skull pathology. Discussion with the radiologist helped guide the imaging protocol, which leads to the correct diagnosis being made. Treatment was tailored by blood cultures and available images. Temporary immobilisation with a cervical collar and a total of 12 weeks of antibiotics lead to complete remission. ER -