Acute onset of abducens nerve palsy in a child with prior history of otitis media: A misleading sign of Gradenigo syndrome

Giovanna Villa, Mario Lattere, Andrea Rossi, Pasquale Di Pietro

Research output: Contribution to journalArticlepeer-review

Abstract

Gradenigo syndrome in children during otitis media is a very rare complication since the use of antibiotics: nevertheless, it must be taken into account in case of otitis media, abducens nerve paralysis and facial pain in regions innervated by the first and second division of trigeminal nerve. We report the case of a 4-year-old boy whose neurological signs and clinical history prompted us to entertain a diagnosis of Gradenigo syndrome, which was not confirmed by CT and MRI findings, revealing otomastoiditis and sinus thrombosis.

Original languageEnglish
Pages (from-to)155-159
Number of pages5
JournalBrain and Development
Volume27
Issue number2
DOIs
Publication statusPublished - Mar 2005

Keywords

  • Abducens nerve palsy
  • Cerebral venous sinus thrombosis
  • Falsely localising sign
  • Gradenigo syndrome
  • MR angiography
  • Otitis media

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Neurology

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