RT Journal Article
SR Electronic
T1 Delayed diagnosis of odontoid peg osteomyelitis with bilateral X and XII cranial nerve palsies
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e227943
DO 10.1136/bcr-2018-227943
VO 12
IS 3
A1 Faisal Bashir Chaudhry
A1 Samavia Raza
A1 Usman Ahmad
YR 2019
UL http://casereports.bmj.com/content/12/3/e227943.abstract
AB 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.