International Journal of Pediatric Otorhinolaryngology Extra
Volume 1, Issue 3 , Pages 207-212, September 2006

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

  • Dwight D. Bates

      Affiliations

    • Wake Forest University Health Sciences, Brenner's Children's Hospital, Department of Otolaryngology, Medical Center Boulevard, Winston-Salem, NC 27157, United States
    • Tel.: +1 336 716 3648; fax: +1 336 716 3857.
    • ,
  • Avinash K. Shetty

      Affiliations

    • Wake Forest University Health Sciences, Brenner's Children's Hospital, Department of Pediatrics, Infectious Diseases, Medical Center Boulevard, Winston-Salem, NC 27157, United States
    • Tel.: +1 336 716 2740; fax: +1 336 716 9699.
    • ,
  • Daniel J. Kirse

      Affiliations

    • Wake Forest University Health Sciences, Brenner's Children's Hospital, Department of Otolaryngology, Medical Center Boulevard, Winston-Salem, NC 27157, United States
    • Corresponding Author InformationCorrespondence to: Wake Forest University Baptist Medical Center, Department of Otolaryngology, Medical Center Boulevard, Winston-Salem, NC 27157, United States. Tel.: +1 336 716 3648; fax: +1 336 716 3857.

Received 9 February 2006; received in revised form 19 March 2006; accepted 21 March 2006.

Summary 

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.

Keywords: Clivus, Abscess, Retropharyngeal space, Osteomyelitis, Image-guidance, Navigation

 

PII: S1871-4048(06)00060-8

doi:10.1016/j.pedex.2006.03.007

International Journal of Pediatric Otorhinolaryngology Extra
Volume 1, Issue 3 , Pages 207-212, September 2006

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