Demir Berat, Abuzaid Ghazi, Ergenc Zeynep, Kepenekli Eda
Department of Otorhinolaryngology-Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University Medical Faculty, Istanbul, Turkey.
Division of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey.
SAGE Open Med Case Rep. 2020 Oct 20;8:2050313X20966119. doi: 10.1177/2050313X20966119. eCollection 2020.
Gradenigo's syndrome presents as a triad of retroorbital pain, ipsilateral abducens palsy, and purulent otorrhea. If the otologic pathologies in Gradenigo's syndrome go unnoticed, the condition could be misdiagnosed with neurological diseases because of retroorbital pain and abducens palsy. Treatment of Gradenigo's syndrome remains controversial. Although some reports state that long-term antibiotic treatment is sufficient, we recommended that management ought to be guided on a case-by-case basis depending on patient and disease factors. Herein, we report a delayed diagnosed pediatric case of Gradenigo's syndrome associated with acute otitis media that was treated with ventilation tube insertion.
Gradenigo综合征表现为眶后疼痛、同侧展神经麻痹和脓性耳漏三联征。如果Gradenigo综合征中的耳科病变未被注意到，由于眶后疼痛和展神经麻痹，该病症可能会被误诊为神经系统疾病。Gradenigo综合征的治疗仍存在争议。尽管一些报告称长期抗生素治疗就足够了，但我们建议应根据患者和疾病因素，逐案指导治疗。在此，我们报告一例与急性中耳炎相关的Gradenigo综合征的儿科延迟诊断病例，该病例通过插入通气管进行治疗。
