Post traumatic tubercular osteomyelitis of skull vault

Sundar, Vijay; Shekhawat, Jitendra Singh; Gupta, Ashok; Sinha, Virendra Deo

doi:10.4103/0976-3147.116471

Cited by 12 publications

(7 citation statements)

References 7 publications

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“…Rarely, cranial osteomyelitis can occur following head trauma (common in children) and after neurosurgical procedures. [222324] Our study group had only 1 patient with post-traumatic SBO.…”

Section: Discussionmentioning

confidence: 99%

Clinical characteristics and complications of skull base osteomyelitis: A 12-year study in a teaching hospital in South India

Das

Iyadurai

Gunasekaran

et al. 2019

J Family Med Prim Care

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Context: Skull base osteomyelitis (SBO) is an uncommon disease with substantial morbidity and mortality. Aims: The aim of this study is to characterize clinical features, outcomes, and complications of SBO. We also looked at differences in clinical profile in otogenic and non-otogenic SBO. Materials and Methods: This is a single-center retrospective observational study. Patients aged more than 15 years of age with clinical and radiological diagnosis of SBO admitted in general medicine department in a teaching hospital in South India from March 2006 to February 2018 were recruited. Results: A total of 41 patients with SBO were identified and included. Mean age was 56.9 ± 10.7 years. In all, 90% of patients (37/41) had diabetes mellitus and 29% (12/41) had recent head/neck surgery. Only 19% (8/41) needed ICU care, and mortality was 21% (9/41). Most common symptom was headache seen in 73% (30/41) of patients. Majority, 61% (25/41), had otogenic infections. Otogenic infections were associated with longer duration of diabetes mellitus (mean = 11.5 vs. 5 years, P = 0.01), higher creatinine levels (mean = 1.66 vs. 0.9 mg/dL, P = 0.014, odds ratio [OR] = 3.8), and higher incidence of cranial nerve palsy (92% vs. 56%; OR = 8.9) compared to non-otogenic SBO. Cranial nerve palsy (78%), meningitis (63%), and cerebral venous thrombosis (43%) were frequent complications of SBO in this study. The causative organisms for SBO in our cohort was bacterial in 60% (15/25) and fungal in 40% (10/25) of the patients. Surgical debridement for source control was done in 54% of patients (22/41) and was associated with survival at discharge ( P = 0.001). Conclusions: Bacterial infections are the most common cause of SBO. Otogenic SBO is associated with longer duration of diabetes mellitus and higher incidence of cranial nerve palsy. Therapeutic surgical debridement plays an important role in treatment of SBO and is associated with improved survival.

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“…Rarely, cranial osteomyelitis can occur following head trauma (common in children) and after neurosurgical procedures. [222324] Our study group had only 1 patient with post-traumatic SBO.…”

Section: Discussionmentioning

confidence: 99%

Clinical characteristics and complications of skull base osteomyelitis: A 12-year study in a teaching hospital in South India

Das

Iyadurai

Gunasekaran

et al. 2019

J Family Med Prim Care

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“…Atypical SBO (also known as central SBO) occurs in the absence of obvious temporal bone or external auditory canal infection involving the sphenoid and occipital bones, especially the clivus part of the latter [4] , [5] , [6] . Most cases of skull osteomyelitis are related to trauma [7] , [8] . In developing countries with limited access to antibiotics, the most common causes of cranial osteomyelitis are paranasal sinuses, direct head injuries, and scalp infections.…”

Section: Discussionmentioning

confidence: 99%

“…In developing countries with limited access to antibiotics, the most common causes of cranial osteomyelitis are paranasal sinuses, direct head injuries, and scalp infections. In developed nations, postoperative craniotomy infections are the predominant source [7] , [8] . SBO is not common in children and osteomyelitis of skull bones especially atypical involving skull base has never been documented in children.…”

Section: Discussionmentioning

confidence: 99%

Tubercular skull base osteomyelitis – A case report

Iyer

Patil

Pandey

et al. 2022

IDCases

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Skull base osteomyelitis (SBO) is a complex and fatal clinical entity caused by infections in the structures surrounding the skull base. It is mainly seen in immune compromised individuals. We report one such rare case of an atypical skull base osteomyelitis in a young, immune-competent female child of 12 years of age, who presented in the ER with misleading symptoms of stroke and was diagnosed incidentally to have SBO on imaging. Adding to the uniqueness of the case is the causative organism, which was identified as Mycobacterium Tuberculosis, an unusual cause of SBO.

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“…In some cases, it is possible to mistake the effects of infection with bone remodelling because an infection can cause new bone formation (Barbian & Sledzik, 2008). Currently, the organism that causes the infection in 90% of cases is Staphylococcus aureus , and the second in frequency is Streptococcus , whereas all others constitute the remaining infective pathogens (Olson & Bingaman, 1999; Ortner, 2003a), although not knowing the sanitary conditions in which people in the past lived, this type of consideration can be excessively restrictive, as demonstrated by case studies from the world's poorer regions (Sundar et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Palaeopathological Study of the Mompaderno Cranium (Croatian Istria) Reveals Interpersonal Violence during Early Bronze Age

et al. 2021

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The Mompaderno cranium was found in 1883 at Baderna/Mompaderno in Croatian Istria. It was suspected to date from the Mesolithic or Neolithic period, but radiocarbon analyses, performed by accelerator mass spectrometry (AMS) on collagen extracted from two teeth, have provided an age range of 2,202-1928 cal. BC, which corresponds to the Early Bronze Age in the investigated region. Macroscopic observations and X-ray micro-tomography (micro-CT) of the cranium have shown antemortem sharp force trauma on the frontal bones, probably caused by a bronze axe, and a related osteomyelitis likely caused by an infection of the wound. The study has also revealed a previous depressed fracture and an osteolytic area interpreted as intradiploic meningioma. Results provide rare and earliest evidence of interpersonal violence in the northern Adriatic region.

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Post traumatic tubercular osteomyelitis of skull vault

Cited by 12 publications

References 7 publications

Clinical characteristics and complications of skull base osteomyelitis: A 12-year study in a teaching hospital in South India

Clinical characteristics and complications of skull base osteomyelitis: A 12-year study in a teaching hospital in South India

Tubercular skull base osteomyelitis – A case report

Palaeopathological Study of the Mompaderno Cranium (Croatian Istria) Reveals Interpersonal Violence during Early Bronze Age

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