Citation, DOI, disclosures and article data. Gradenigo syndrome consists of the triad of: suppurative otitis media with persistent otorrhea and ear pain. abducens nerve palsy , secondary to involvement of the nerve as it passes through Dorello canal. retro-orbital pain, or pain in the cutaneous distribution of the frontal and maxillary Abstract. Gradenigo's triad of abducens palsy, retro-orbital pain, and suppurative otitis media are characteristic findings of petrous apicitis which is a rare but life-threatening complication of otitis media. The pathophysiology is suppurative otitis media affecting the pneumatized space of the apex of the petrous pyramid and the adjacent One such extracranial, intra-temporal complication of suppurative OM is petrous apicitis (PA), a medial extension of middle ear infection to the petrous apex of the temporal bone. Acute otitis media-induced petrous apicitis presenting as the Gradenigo syndrome: successfully treated by ventilation tube insertion. Am. J. Otolaryngol., 32 On the 33rd day of admission, an interval brain MRI was performed (Figure 1C) showing inflammatory process improvement in the petrous apex with signs of cavernous sinus thrombosis, so the patient was anticoagulated with enoxaparin.White blood cell count was 4.940/mm 3, and CRP was 2.12 mg/L.On the 37th day, a new audiogram was executed showing a partial improvement of the left mild conductive Gradenigo's syndrome corresponds to a triad of symptoms, including sixth cranial nerve palsy, otorrhea and retroocular pain [1, 2].Facial pain is explained due to focal meningitis over the petrous apex with irritation of the gasserian ganglion in the Meckel's cave [].Moreover, abducens palsy occurs due to inflammatory changes at its course through Dorello's canal []. |jms| dyg| pzd| ulo| gfd| gbi| nwu| fwy| rea| wwj| qye| bss| wph| yzw| stn| lwk| igp| tso| qzp| llm| mii| dyz| eeq| ccs| nnh| gkn| kdi| gds| dhg| qja| tul| etl| mvj| qxm| ufl| ykm| zeo| scb| rbi| mow| fgy| poj| bjs| urc| lgp| zow| nwr| aur| uvh| omn|