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Skull base osteomyelitis presenting with an isolated hypoglossal nerve palsy
Eirini Vasileiou Kasfiki1, Ciaran Kelly, John Smith
1Department of Acute Medicine, Yorkshire and Humber Deanery, Wetherby, UK. kasfiki_eirini@hotmail.com
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.
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