Treatment of a clivus abscess in a child using image-guidance

被引:2
作者
Bates, Dwight D. [1 ]
Shetty, Avinash K. [2 ]
Kirse, Daniel J. [1 ]
机构
[1] Wake Forest Univ Hlth Sci, Brenners Childrens Hosp, Dept Otolaryngol, Winston Salem, NC 27157 USA
[2] Wake Forest Univ Hlth Sci, Brenners Childrens Hosp, Dept Pediat, Infect Dis, Winston Salem, NC 27157 USA
关键词
Clivus; Abscess; Retropharyngeal space; Osteomyelitis; Image-guidance; Navigation;
D O I
10.1016/j.pedex.2006.03.007
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Osteomyelitis and abscess of the clivus are rare conditions thought to arise from contiguous spread of infection from the paranasal sinuses [D. L. Hoistad, A.J. Duvall III. Sinusitis with contiguous abscess involvement of the clivus and petrous apices. Case report, Ann. Otol. Rhinol. Laryngol. 108 (1999) 463-466] or the temporal bone and petrous apex [S.A. Aziz, P. B. Fayad, F. Fulbright, M. L. Giroux, S.G. Waxman. Clivus and cervical spinal osteomyelitis with epidural abscess presenting with multiple cranial neuropathies, Clin. Neurol. Neurosurg. 97 (1995) 239-244], but have also been found to occur with no known source [R. Rusconi, S. Bergamaschi, A. Cazzabillan, V. Carnelli. Clivus osteomyelitis secondary to Enterococcus faecium infection in a 6-year-old girl, Int. J. Ped. Otorhinolaryng. 69 (2005) 1265-1268]. This report represents the second case of a clivus abscess in a child and demonstrates an innovative approach to surgical localization and treatment of abscesses in this area and also potentially in the nearby retropharyngeal region. (C) 2006 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:207 / 212
页数:6
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