Cranial Nerve Palsies and Necrotizing External Otitis – Two Case Reports

Authors: V. Chrobok 1;  J. Dědková 2;  M. Černý 1
Authors‘ workplace: LF UK a FN Hradec Králové Klinika otorinolaryngologie a chirurgie hlavy a krku 1;  LF UK a FN Hradec Králové Radiodiagnostická klinika 2
Published in: Cesk Slov Neurol N 2014; 77/110(1): 109-113
Category: Case Report


Necrotizing (malignant) external otitis is a life-threatening Pseudomonas aeruginosa infection of the external auditory canal leading to skull base osteomyelitis and soft tissue inflammation of the infratemporal fossa. We present two cases with facial nerve palsy and multiple cranial nerve palsies. The review of recent literature discusses the history, pathogenesis, diagnosis, and treatment of skull base osteomyelitis in the context of necrotizing otitis externa.

Key words:
external otitis – facial nerve – cranial neuropathy – osteomyelitis – Pseudomonas aeruginosa

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.


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Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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2014 Issue 1

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