Evidence map›Paper›PMID 30459850›Full record

ReviewAsian journal of neurosurgery

A Comprehensive Review of Skull Base Osteomyelitis: Diagnostic and Therapeutic Challenges among Various Presentations.

Muhammad Adnan Khan, Syed Abdul Qader Quadri, Abdulmuqueeth Syed Kazmi, Vishal Kwatra, Anirudh Ramachandran, Aaron Gustin, Mudassir Farooqui, Sajid Sattar Suriya, Atif Zafar

Open access · hybridAbstract readReview
In one paragraph

Review in Asian journal of neurosurgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 146 citations in OpenAlex.

  1. Observational
  2. Clinical Features and Surgical Outcomes in Patients With Central Skull Base Osteomyelitis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  3. Article
  4. Optimizing skull base osteomyelitis treatment: effectiveness of antibiotic therapy within a multimodal approach.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  5. Article
  6. A prospective multicentric study of microbiological profile, treatment protocols and clinical indicators of cure in skull base osteomyelitis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Observational
  7. Article
  8. Article
  9. Pathogens (Basel, Switzerland) · 2025
    Review
  10. Article
  11. Article
  12. Skull Base Osteomyelitis- Microbiological Profile and Management Implications.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  13. Review
  14. A pathogen-detection's odyssey in a case of skull base osteomyelitis: Land ahoy!Annals of clinical microbiology and antimicrobials · 2025
    Article
  15. Article
  16. Article
  17. Foreign Contaminants Target Brain Health.CNS & neurological disorders drug targets · 2025
    Review
  18. Skull Base Osteomyelitis and Parapharyngeal Abscess as Complications of Otitis Media in a Young Immunocompetent Man.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  19. Article
  20. Article

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Muhammad Adnan KhanDepartment of Neurosurgery, California Institute of Neuroscience, Thousand Oaks, CA, USA.
Syed Abdul Qader QuadriDepartment of Neurosurgery, California Institute of Neuroscience, Thousand Oaks, CA, USA.
Abdulmuqueeth Syed KazmiDepartment of Neurosurgery, Windsor University School of Medicine, Brighton's Estate, Cayon, St. Kitts, West Indies.
Vishal KwatraDepartment of Neurosurgery, California Institute of Neuroscience, Thousand Oaks, CA, USA.
Anirudh RamachandranDepartment of Neurosurgery, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA, USA.
Aaron GustinDepartment of Neurosurgery, Advocate BroMenn Medical Center, Normal, IL, USA.
Mudassir FarooquiUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Sajid Sattar SuriyaDepartment of Neurosurgery, California Institute of Neuroscience, Thousand Oaks, CA, USA.
Atif ZafarDepartment of Neurology, University of New Mexico, Albuquerque, NM, USA.
University of New Mexico · USUniversity of Oklahoma Health Sciences Center · USWestern University of Health Sciences · USWindsor University School of Medicine · KN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skull base osteomyelitis (SBO) is a complex and fatal clinical entity that is often misdiagnosed for malignancy. SBO is commonly a direct complication of otogenic, sinogenic, odontogenic, and rhinogenic infections and can present as central, atypical, or pediatric clival SBO. This review describes the clinical profile, investigational approach, and management techniques for these variants. A comprehensive literature review was performed in PubMed, MEDLINE, Research Gate, EMBASE, Wiley Online Library, and various Neurosurgical and Neurology journals with the keywords including: SBO, central or atypical SBO, fungal osteomyelitis, malignant otitis externa, temporal bone osteomyelitis, and clival osteomyelitis. Each manuscript's reference list was reviewed for potentially relevant articles. The search yielded a total of 153 articles. It was found that with early and aggressive culture guided long-term intravenous broad-spectrum antibiotic therapy decreases post-infection complications. In cases of widespread soft tissue involvement, an early aggressive surgical removal of infectious sequestra with preferentially Hyperbaric Oxygen (HBO) therapy is associated with better prognosis of disease, less neurologic sequelae and mortality rate. Complete resolution of the SBO cases may take several months. Since early treatment can improve mortality rates, it is paramount that the reporting radiologists and treating clinicians are aware of the cardinal diagnostic signs to improve clinical outcomes of the disease. It will decrease delayed diagnosis and under treatment of the condition. However, due to rarity of the condition, complete prognostic factors have not fully been analyzed and discussed in the literature.

Indexed as

Central skull base osteomyelitisclival osteomyelitisfungal osteomyelitismalignant ostitis externapediatric osteomyelitisskull base osteomyelitistemproal bone osteomyelitis

Identifiers

PMID30459850
PMCPMC6208218
OpenAlexW2801628732

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.