Pedroso José Luiz, de Aquino Camila Catherine Henriques, Abrahão Agessandro, de Oliveira Ricardo Araújo, Pinto Lauro Figueira, Bezerra Márcio Luis Escórcio, Gonçalves Silva Antonio Beuttenmuller, de Macedo Francisca Delanie Bulcão, de Melo Mendes Ana Valéria, Barsottini Orlando Graziani Povoas
Departments of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil.
Case Rep Neurol. 2011 Feb 15;3(1):45-7. doi: 10.1159/000324179.
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.
我们报告一例年轻女性非霍奇金淋巴瘤病例，该患者表现为腹部肿块，并出现了罕见的类似Gradenigo综合征的颅神经麻痹。这种情况的特征是耳漏、面部疼痛和复视三联征，在抗生素时代之前与中耳炎有关。已有文献描述了Gradenigo综合征不完整和非典型的临床特征，非感染性原因可能会模仿这种情况。进行鉴别诊断需要详细的临床病史和体格检查，包括神经影像学检查。
