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Clival lesion: Atypical osteomyelitis vs. a neoplastic process

January 22, 2016  |  Mike C. Butterfield, MD; Juan S. Gomez, MD; Ngoc Ly, MD; Enrique Palacios, MD, FACR

The differential diagnosis of a clival lesion includes malignancy, infection, meningioma, and chordoma. In this patient, a recurrent neoplasm was suspected because of his medical history and the imaging findings

Osteomyelitis of the temporal bone in identical twin infants

June 14, 2011  |  Sampath C. Prasad, MS, DNB, Kishore Chandra Prasad, DLO, MS, FACS, Rukma Bhandary, DLO, MS, Kumar Abhijith, MS, and Pallavi Sampath, DNB


Osteomyelitis of the skull base almost always occurs in elderly patients with diabetes; however, it may occur in patients with compromised immune function regardless of their age. We present the cases of a pair of immunocompetent, 2-year-old identical twins who experienced...

Osteomyelitis of the hard palate secondary to actinomycosis: A case report

March 1, 2011  |  Rohit Garg, MD, Paul Schalch, MD, Jon-Paul Pepper, MD, and Quoc A. Nguyen, MD


Osteomyelitis of the hard palate is a rare and difficult-to-eradicate sequela of actinomycosis. In this case report, we illustrate the necessity of aggressive surgical management of actinomycotic infection of the hard palate. The patient was initially treated with multiple...

Skull base osteomyelitis originating in the middle ear or mastoid: A review of 3 cases

March 1, 2011  |  Aaron Pang, MBBS, MRCS(Edin) and Kevin Chong, MBBS, FRCS(Edin)


Skull base osteomyelitis is a life-threatening condition that sometimes arises as a sequela of otitis media and mastoiditis. We present a retrospective analysis of the clinical course of 3 patients with skull base osteomyelitis that originated in the middle ear or mastoid. All...

Primary diffuse large B-cell lymphoma of the skull mimicking osteomyelitis

January 1, 2011  |  Egambaram Senthilvel, MD, Shanmugam Subbiah, MD, Vikas Jain, MD, and Michael Seidman, MD


Primary lymphomas of the skull are extremely rare, as fewer than 20 cases have been reported in the literature. We describe the case of a 51-year-old woman with Huntington chorea who presented with forehead swelling. Imaging studies detected an enhancing mass in the skull with...

Paget disease and chronic osteomyelitis of the mandible

April 1, 2010  |  Hootan Zandifar, MD, Jason S. Hamilton, MD, Ryan F. Osborne, MD, Ron E. Walsh, NP, and Robert M. Kellman, MD

Nontraumatic retropharyngeal abscess complicated by cervical osteomyelitis and epidural abscess in post-Katrina New Orleans: Four cases

July 1, 2009  |  Sabeen Faruqui, MS, Enrique Palacios, MD, Paul Friedlander, MD, Miguel Melgar, MD, PhD, Jorge Alvernia, MD, and Phillip Vaughan Parry, MD


Most retropharyngeal abscesses, including iatrogenic cases, are caused by trauma. Nontraumatic retropharyngeal abscesses usually occur secondary to infection of the retropharyngeal lymph nodes. Because these particular nodes usually disappear by the age of 4 or 5 years, a...

Iatrogenic occipital osteomyelitis

January 1, 2009  |  Gleb Medvedev, BS, Enrique Palacios, MD, FACR, and Wesley Jones, MD

Severe muscle spasm of the neck secondary to osteomyelitis of the atlantoaxial joint

July 1, 2007  |  Jagan D. Gupta, MD; Matthew Dang, MD; Enrique Palacios, MD, FACR


November 1, 2005  |  Francis H. Gannon, MD; Lester D.R. Thompson, MD

Unusual rhinosinusitis caused by Curvularia fungi

May 1, 2005  |  Pedram Parva, MD; Rafael Rojas, MD; Enrique Palacios, MD, FACR

Sequelae of undiagnosed cervical vertebral osteomyelitis in intravenous drug abusers

September 1, 2004  |  Helen X. Xu, MD; Ryan F. Osborne, MD; Jason Hamilton, MD; Lorenzo Brown, MD
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