Guennouni Asmae, Sqalli Houssaini Adam, Bahha Soukaina, Fadil Mohamed, En-Nouali Hassan, Fenni Jamal El
Radiology Department, Military Hospital of Rabat, Rabat 10045, Morocco.
Radiol Case Rep. 2025 Jan 17;20(4):1867-1870. doi: 10.1016/j.radcr.2024.12.054. eCollection 2025 Apr.
Gradenigo's syndrome is a rare but severe clinical condition characterized by a triad of retro-orbital pain, ipsilateral sixth cranial nerve palsy, and otorrhea, typically resulting from petrous apicitis as a complication of acute otitis media. We report the case of a young patient presenting with these symptoms, along with imaging findings of petrous apex inflammation, abscess formation, and mastoiditis. The patient was successfully treated with high-dose antibiotics and surgical drainage. This case underscores the critical importance of early diagnosis and management to prevent potentially lifethreatening complications, with radiological imaging playing a key role in identifying the condition and guiding therapeutic decisions.
格拉代尼戈综合征是一种罕见但严重的临床病症，其特征为眼眶后疼痛、同侧第六脑神经麻痹和耳漏三联征，通常由岩尖炎引起，而岩尖炎是急性中耳炎的一种并发症。我们报告了一名出现这些症状的年轻患者的病例，同时还有岩尖炎症、脓肿形成和乳突炎的影像学表现。该患者通过大剂量抗生素和手术引流成功治愈。此病例强调了早期诊断和治疗对于预防潜在危及生命的并发症的至关重要性，放射影像学在识别病情和指导治疗决策方面发挥着关键作用。
