Transoral Biopsy of the Clivus in a Pediatric Patient for Suspected Osteomyelitis

Pediatric skull base osteomyelitis is an uncommon and difficult infection to characterize and treat, and it can result in devastating neurologic sequela. While transoral biopsy of the clivus in the adult population has been demonstrated, no such case is reported in the literature for the pediatric population for the purposes of elucidating an infectious source. Here we describe transoral biopsy of the clivus utilizing computed tomography (CT) guidance in a pediatric patient with suspected skull base osteomyelitis.