title: Otitis complicated by Jacod's syndrome with unusal facial nerve involvement: Case report and review of literature.
abstract: Otitis media is a well-known condition and its infra-temporal and intracranial complications are extremely rare because of the widespread usage of antibiotic treatment. We report a case of 63-year-old female with complaints of right-sided facial pain and diplopia. She had a history of acute otitis media before 4 months of admission to our neurology unit. Neurological examination showed that total ophthalmoplegia with ptosis, mydriasis, decreased vision and loss of pupil reflex on the right side. In addition, there was involvement of 5th and 7th cranial nerves. Neurological and radiological follow-up examinations demonstrated Jacod's Syndrome with unusual facial nerve damage and infection in aetiology. Sinusitis is the most common aetiology, but there are a few cases reported Jacod's Syndrome originating from otitis media.
authors.affiliation: Istanbul Medeniyet University Medical Faculty, Neurology, Turkey.
authors.forename: Kocer
authors.initials: K
authors.lastname: Abdulkadir
authors.affiliation: Istanbul Medeniyet University Medical Faculty, Neurology, Turkey.
authors.forename: Sanlisoy
authors.initials: S
authors.lastname: Buket
authors.affiliation: Istanbul Medeniyet University Medical Faculty, Neurology, Turkey.
authors.forename: Agircan
authors.initials: A
authors.lastname: Dilek
authors.affiliation: Istanbul Medeniyet University Medical Faculty, Neurology, Turkey.
authors.forename: Okay
authors.initials: O
authors.lastname: Munevver
authors.affiliation: Bezmialem Vakif University Medical Faculty, Radiology, Istanbul, Turkey.
authors.forename: Aralasmak
authors.initials: A
authors.lastname: Ayse
mesh_terms: D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D004172:Diplopia / Q000209:etiology; D004305:Dose-Response Relationship, Drug; D005154:Facial Nerve / Q000473:pathology; D005155:Facial Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D005157:Facial Pain / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009802:Oculomotor Nerve / Q000473:pathology; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D010033:Otitis Media / Q000150:complications; D011239:Prednisolone / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone
keywords: Orbital apex, Petrous apex, Otitis, Cranial nerve, Facial nerve, Infection.