Gradenigo’s Syndrome a Rare Complication of Acute Otitis Media: Case Report and Literature Revue | ||||
| Egyptian Journal of Ear, Nose, Throat and Allied Sciences | ||||
| Article 11, Volume 21, Issue 2, August 2020, Page 104-107 PDF (707.32 K) | ||||
| Document Type: Case report | ||||
| DOI: 10.21608/ejentas.2019.7543.1074 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
monia ghammam  1; Amel Gdissa2; Mouna Bellakhdher2; Jihene Houas2; Mohamed Abdelkefi2
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| 1ENT department Farhat Hached medicine university sousse tunisia | ||||
| 2Department of ENT and Cervical Surgery Farhat Hached Hospital, Medicine University Sousse, Tunisia | ||||
| Abstract | ||||
| Introduction: Gradenigo's syndrome is a rare complication of otitis media and mastoiditis involving the apex of the petrous temporal bone. This syndrome is characterized by a clinical triad of deep facial pain, sixth cranial nerve palsy, and acute otitis media (AOM). Case report: We report a case of a six-year-old girl, with no past medical history, who presented with a sudden diplopia following six days of headache and otorrhea. The diagnosis of gradenigo's syndrome was confirmed by clinical examination and imaging. She made a full recovery after 9 weeks of antibiotics. Discussion: Gradenigo's syndrome is a rare but life threatening complication of AOM. The inflammatory process starts in the middle ear, and spreads from the base to the top of the petrous portion of the temporal bone, producing several diagnostic symptoms. Careful clinical history and physical examination, including imaging, are necessary to make the diagnosis. Appropriate management requires antibiotic treatment and possible surgical intervention | ||||
| Keywords | ||||
| Abducens nerve palsy; antibiotics; facial pain; Gradenigo’s syndrome; otitis media | ||||
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