Department of Radiology (Neuroradiology), University of Michigan Medical System, Ann Arbor, Michigan 48109, USA.
J Neuroophthalmol. 2010 Mar;30(1):34-6. doi: 10.1097/WNO.0b013e3181c5d0fd.
A 12-year-old boy developed fever, trigeminal pain, altered mental status, and a sixth cranial nerve palsy, features of Gradenigo syndrome. Diffusion-weighted MRI demonstrated restricted diffusion in the ipsilateral petrous apex, identifying an abscess as the cause of his manifestations. The patient was successfully treated with broad-spectrum antibiotics. This is the first report demonstrating the use of diffusion-weighted imaging in Gradenigo syndrome.
一名 12 岁男孩出现发热、三叉神经痛、意识改变和第六颅神经麻痹，这些都是 Gradenigo 综合征的特征。弥散加权 MRI 显示同侧岩尖部弥散受限，确定脓肿是其表现的原因。患者经广谱抗生素治疗成功。这是首例使用弥散加权成像诊断 Gradenigo 综合征的报告。
