Here, we reported a case of acute labyrinthitis and Gradenigo's syndrome
following CSOM, treated successfully with conservative therapy with antibiotics, and there was also accidental finding of an internal auditory canal lesion most likely acoustic neuroma.
is characterised by a classic triad of discharging ear, retro-orbital pain, abducens nerve paralysis causing diplopia.
KEYWORDS: Gradenigo's syndrome
; Otitis media; Abducens nerve palsy.
Therapeutic approach to Gradenigo's syndrome
: a case report.
It also seems fair to state that antibiotics are a mixed blessing in that the cardinal symptoms of petrous apicitis--deep retrobulbar pain and abducens paralysis with otomastoiditis (Gradenigo's syndrome
)--are rarely present these days, which often contributes to a delayed diagnosis.
If the mastoiditis is left untreated or if it is treated inappropriately, it can cause severe complications, such as subperiosteal abscess, Bezold's abscess, meningitis, brain abscess, sigmoid sinus thrombophlebitis, and Gradenigo's syndrome