title: Gradenigo's syndrome--surgical management in a child.
abstract: Otits media is a common problem. Some of its complications that were seen frequently in the preantibiotic era are rare today. We report a case of an 8 year boy who presented with earache, retro-orbital pain and diplopia secondary to a sixth nerve palsy--Gradenigo's syndrome. In this syndrome infection from the middle ear spreads medially to the petrous apex of the temporal bone. Work-up includes CT scan of the temporal bones. Timely management with intravenous antibiotics (+ surgery) is needed to prevent intra-cranial complications.
authors.affiliation: Department of Surgery, Aga Khan University Hospital, Karachi.
authors.forename: Hassan Nabeel
authors.initials: HN
authors.lastname: Humayun
authors.forename: Shabbir
authors.initials: S
authors.lastname: Akhtar
authors.forename: Shakeel
authors.initials: S
authors.lastname: Ahmed
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002648:Child; D020209:Cranial Nerve Injuries / Q000150:complications; D004172:Diplopia / Q000209:etiology*; D004433:Earache / Q000209:etiology*; D005155:Facial Nerve Diseases / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male; D008417:Mastoiditis / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D013577:Syndrome; D013701:Temporal Bone / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone