Prolonged diplopia following sinus vein thrombosis mimicking Gradenigo's syndrome.
We report about a boy with the symptoms of Gradenigo's syndrome (abducens nerve palsy, acute otitis media, unilateral headache). The MR imaging showed a sinus vein thrombosis instead of the expected petroapicitis. After 2 weeks of conservative therapy with antibiotics and anticoagulation, without any clinical effort the boy underwent a mastoidectomy. Headache and otitis media recovered quickly but the diplopia still remained after 25 months.
Dorn
Matthias
M
Department of Otorhinolaryngology, University of Ulm, Frauensteige 12, 89075 Ulm, Germany.
Liener
Kristina
K
Rozsasi
Ajnacska
A
Keck
Tilman
T
D000010:Abducens Nerve / Q000473:pathology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D004172:Diplopia / Q000209:etiology*; D006261:Headache / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008417:Mastoiditis / Q000601:surgery*; D010035:Otitis Media, Suppurative / Q000175:diagnosis; D012851:Sinus Thrombosis, Intracranial / Q000150:complications* / Q000473:pathology* / Q000628:therapy*; D013577:Syndrome
D000900:Anti-Bacterial Agents; D000925:Anticoagulants