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British Journal of Radiology (2005) 78, 948-951
© 2005 British Institute of Radiology
doi: 10.1259/bjr/71475327
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Case report

CT, MRI and gallium SPECT in the diagnosis and treatment of petrous apicitis presenting as multiple cranial neuropathies

Y H Lee, MD1, N J Lee, MD1, J H Kim, MD1 and J J Song, MD2

Department of 1 Radiology and 2 Otorhinolaryngology, Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea

Correspondence: Nam Joon Lee, Departments of Radiology, Anam Hospital, Korea University College of Medicine, 126-1 Anamdong 5-Ga, Sungbuk-Gu, Seoul, 136-705, Republic of Korea

We present a rare case of petrous apicitis initiated by middle ear inflammation in a diabetic patient with multiple cranial neuropathies for early diagnosis of this potentially life-threatening condition. The lesion appeared as opacification of middle ear, petrous apex with aggressive bony destruction on CT and diffuse petrosal T1 hypointensity with adjacent soft tissue propagation on MRI. Gallium-67 single-photon emission computed tomography (SPECT) scan also contributed to evaluate response to therapy.






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