title: Gradenigo's Syndrome: Beyond the Classical Triad of Diplopia, Facial Pain and Otorrhea.
abstract: We report a case of a non-Hodgkin's lymphoma in a young woman presenting with an abdominal mass and an unusual instance of cranial nerve palsies mimicking Gradenigo's syndrome. This condition is characterized by a triad of otorrhea, facial pain and diplopia, related to otitis media in the pre-antibiotic era. Incomplete and atypical clinical features of Gradenigo's syndrome have been described and noninfectious causes may mimic this condition. Careful clinical history and physical examination, including neuroimaging, are necessary to make a differential diagnosis.
authors.affiliation: Departments of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: José Luiz
authors.initials: JL
authors.lastname: Pedroso
authors.forename: Camila Catherine Henriques
authors.initials: CC
authors.lastname: de Aquino
authors.forename: Agessandro
authors.initials: A
authors.lastname: Abrahão
authors.forename: Ricardo Araújo
authors.initials: RA
authors.lastname: de Oliveira
authors.forename: Lauro Figueira
authors.initials: LF
authors.lastname: Pinto
authors.forename: Márcio Luis Escórcio
authors.initials: ML
authors.lastname: Bezerra
authors.forename: Antonio Beuttenmuller
authors.initials: AB
authors.lastname: Gonçalves Silva
authors.forename: Francisca Delanie Bulcão
authors.initials: FD
authors.lastname: de Macedo
authors.forename: Ana Valéria
authors.initials: AV
authors.lastname: de Melo Mendes
authors.forename: Orlando Graziani Povoas
authors.initials: OG
authors.lastname: Barsottini