Gradenigo syndrome: a case report and review of a rare complication of otitis media

The Journal of Emergency Medicine
Scott C Sherman, Ann Buchanan

Abstract

Otitis media is a commonly seen condition in the Emergency Department. The complications of otitis media that were seen frequently in the preantibiotic era are now rare today. We report a case of a diabetic man who presented with otorrhea, retro-orbital pain, and diplopia secondary to a sixth cranial nerve palsy--Gradenigo syndrome. This syndrome occurs as infection from the middle ear spreads medially to the petrous portion of the temporal bone. The emergency physician should consider this condition in patients with chronic ear drainage or pain not responsive to conventional treatment or in any patient with a cranial nerve palsy in the setting of acute or chronic otitis. Work-up should include a CT scan of the temporal bones. Otolaryngology consultation and admission for i.v. antibiotics is recommended.

References

Jun 1, 1985·Archives of Otolaryngology·D B KearnsH A Jenkins
Nov 1, 1983·The Annals of Otology, Rhinology, and Laryngology·R A Chole, P J Donald

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Citations

Mar 4, 2014·Pediatric Radiology·Rupa RadhakrishnanBernadette L Koch
Aug 12, 2009·Pediatric Neurology·Laure GibierValérie Franco-Vidal
May 10, 2008·Neuroimaging Clinics of North America·Matthew E AdamsIndra Yousry
Feb 26, 2008·The Journal of Emergency Medicine·Stephen Tornabene, Gary M Vilke
Feb 2, 2006·The Medical Clinics of North America·Walter G Belleza, Suzanne Kalman
Nov 11, 2005·International Journal of Pediatric Otorhinolaryngology·Matthias DornTilman Keck
Sep 11, 2018·Journal of Cancer Research and Therapeutics·Asude Aksoy, Asuman Orhan Varoglu
Feb 11, 2012·Korean Journal of Ophthalmology : KJO·Jung Hyun JangSoo Jung Lee
Mar 10, 2020·Case Reports in Otolaryngology·Ana Sousa MenezesLuís Dias
Nov 18, 2017·Clinical Neuroradiology·Lucia DanieliAlessandro Cianfoni

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