title: Prolonged diplopia following sinus vein thrombosis mimicking Gradenigo's syndrome.
abstract: 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.
authors.affiliation: Department of Otorhinolaryngology, University of Ulm, Frauensteige 12, 89075 Ulm, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Dorn
authors.forename: Kristina
authors.initials: K
authors.lastname: Liener
authors.forename: Ajnacska
authors.initials: A
authors.lastname: Rozsasi
authors.forename: Tilman
authors.initials: T
authors.lastname: Keck
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D000925:Anticoagulants