A Case of Petrositis with Abducens Palsy.
- Author:
No Hee LEE
1
;
Jae Ho BAN
;
Chee Yeul PARK
;
Chang Cyu KIM
Author Information
1. Department of Otolaryngology, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Seoul, Korea. miffy@hananet.net
- Publication Type:Case Report
- Keywords:
Abducens nerve palsy;
Petrous bone
- MeSH:
Abducens Nerve Diseases;
Anti-Bacterial Agents;
Diagnosis;
Facial Pain;
Humans;
Mastoid;
Otitis Media, Suppurative;
Paralysis*;
Petrositis*;
Petrous Bone
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2006;49(8):869-872
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Petrous apicitis is an extension of infection from the mastoid air cell tract into petrous apex. Petrous apicitis, a potentially fatal complication of suppurative otitis media, presents a variety of symptoms. But the classical findings of petrous apicitis, called Gradenigo's syndrome that include abducens nerve palsy, deep facial pain and acute suppurative otitis media, rarely occur. Gradenigo's syndrome can be treated with surgery, but the advent of antibiotics and early imaging study allow conservative treatment in some uncomplicated cases. With the widespread use of antibiotics, petrous apicitis has become an uncommon disease. So most physicians have little clinical experience in their diagnosis and treatment of this disease. We present a case of Gradenigo's syndrome, which was unresponsive to conservative treatment. We provide here details of our experience of treating the patient with surgery without complication.
