Acute Otitis Media-Induced Gradenigo Syndrome, a Dramatic Response to Intravenous Antibiotic
Author(s):
Abstract:
Introduction
Petrositis is a rare but severe complication of acute otitis media and mastoiditis. Despite efficient antibiotic therapy, there are still reports of both intratemporal and intracranial complications of otitis media with the potential risk of high morbidity and mortality. Petrositis has traditionally been treated with surgery, but recent advances in imaging, with improved antibiotic treatment, allow more conservative management.Case Report: In this case report we describe the clinical course and treatment of a 33-year-old man with petrous apicitis who presented with severe otalgia, retro-orbital pain, and sixth cranial nerve palsy Gradenigo syndrome. Our patient showed a dramatic response to intravenous antibiotics only, without need for any surgical intervention, even myringotomy.
Conclusion
It seems that early detection and management of this syndrome before development of other intratemporal or intracranial complications may prevent the need for surgical intervention. Keywords:
Language:
English
Published:
Iranian Journal of Otorhinolaryngology, Volume:29 Issue: 3, May 2017
Pages:
165 to 169
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