Kim Chae-Young, Lee Min Young, Jung Jae Yun, Choi Ji Eun
Department of Otolaryngology Head and Neck Surgery, Dankook University Hospital, College of Medicine, Dankook University, Cheonan, South Korea.
Radiol Case Rep. 2024 Apr 13;19(7):2633-2638. doi: 10.1016/j.radcr.2024.03.037. eCollection 2024 Jul.
Gradenigo's syndrome, a rare but serious complication of otitis media, encompasses a triad of symptoms including otalgia, facial palsy, and abducens nerve palsy, pointing to the involvement of the petrous apex. This case report presents an 11-year-old boy with an atypical manifestation of Gradenigo's syndrome, characterized by the absence of classic features such as abducens nerve palsy and purulent otorrhea. MRI findings were significant for petrous apicitis extending to Meckel's cave and the cavernous sinus, along with abscess formation and clivus osteomyelitis. The report highlights the critical role of advanced neuroimaging, particularly MRI, in the diagnosis and management of this condition. It underscores the importance of recognizing atypical presentations of Gradenigo's syndrome and the effectiveness of imaging-guided conservative treatment strategies in pediatric otological cases.
Gradenigo综合征是中耳炎一种罕见但严重的并发症，包括耳痛、面瘫和展神经麻痹三联征，提示岩尖受累。本病例报告介绍了一名11岁男孩，其表现为Gradenigo综合征的非典型症状，特点是缺乏展神经麻痹和脓性耳漏等典型特征。磁共振成像（MRI）检查结果显示，岩尖炎延伸至梅克尔腔和海绵窦，伴有脓肿形成和斜坡骨髓炎。该报告强调了先进的神经影像学检查，尤其是MRI，在该病诊断和治疗中的关键作用。它强调了认识Gradenigo综合征非典型表现的重要性，以及影像引导下保守治疗策略在儿童耳科病例中的有效性。
