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Right Frontal Osteomyelitis
Case Detail
| Anatomy: Brain-Spine |
 Joseph Junewick, MD FACR |
| Diagnostic Category: Infectious-Inflammatory |
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| Created: over 2 years ago |
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| Updated: over 2 years ago |
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| Tags:
PEDS
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| Modality/Study Types:
MR
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Activities:  PDF  ImageJA |
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.