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Focal Carotid Dissection
Joseph Junewick, MD FACR
over 7 years ago
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Right Frontal Osteomyelitis

Case Detail

Anatomy: Brain-Spine
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Infectious-Inflammatory
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: MR
Activities:
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History

15 year old with persistent fever and recent history of orbital cellulitis, sinusitis and influenza.


Case Images


Diagnosis

Right Frontal Osteomyelitis

Findings

CT – Coronal reformat shows destruction of the right frontal bone.

MR – Permiative osteolysis of the right frontal bone. Marrow and periosteal edema and inflammation are present with dural enhancement.

Discussion

Osteomyelitis of the skull is rare, accounting for about 1% of all osteomyelitis. It usually occurs as a complication of trauma or sinusitis but can also occur as a result of retrograde septic thrombophelbitis. Its complications can be life threatening though the initial symptoms and signs are subtle. Intracranial complications include meningitis, cortical vein thrombosis and venous infarctions, and cerebritis.



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