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Case Reports in Radiology
Volume 2017 (2017), Article ID 2507645, 4 pages
https://doi.org/10.1155/2017/2507645
Case Report

Pyogenic Odontoid Osteomyelitis with Sinus Thrombosis

1Department of Psychiatry, Hofstra Northwell Health, Staten Island University Hospital, Staten Island, NY, USA
2Department of Radiology, Hofstra Northwell Health, Staten Island University Hospital, Staten Island, NY, USA
3Department of Neurology, Hofstra Northwell Health, Staten Island University Hospital, Staten Island, NY, USA

Correspondence should be addressed to Rohit Aiyer

Received 31 May 2017; Accepted 8 October 2017; Published 29 October 2017

Academic Editor: Amit Agrawal

Copyright © 2017 Rohit Aiyer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

71/F presented with left sided headaches and neck pain with nuchal rigidity progressively worsening over 3 weeks with no other neurologic symptoms. Odontoid osteomyelitis with epidural abscess was discovered on further workup with neuroimaging. Concurrent jugular vein and transverse sinus venous thrombosis was also found and suspected to be secondary to the pyogenic odontoid osteomyelitis. Patient was treated with intravenous antibiotics for the osteomyelitis as well as intravenous heparin for the venous thrombosis. To our knowledge, this is the first case reported in literature of transverse sinus venous thrombosis secondary to odontoid osteomyelitis.