Abstract

METHOL, Guillermina; GARCIA, Loreley  and  GIACHETTO, Gustavo. Gradenigo syndrome: a rare complication of acute otitis media. Arch. Pediatr. Urug. [online]. 2016, vol.87, n.1, pp.44-48. ISSN 0004-0584.

The Gradenigo syndrome consists in a clinical triad of acute otitis media, unilateral paralysis of the VI cranial nerve and ipsilateral retroorbital pain. It is attributed to an acute apical petrositis by evolutionary complication from an infection of the middle ear. The availability, the access and adequate use of antibiotic therapy have contributed to decrease the frequency of this intratemporal or intracranial complications with high risk of morbidity and mortality. The treatment of acute petrositis has evolved from radical surgery in the pre-antibiotic era, to medical treatment and minor surgery combined, in recent years. The external ophthalmoplegia raises differential diagnosis with other clinical entities: trauma, neoplasms, endocranial hypertension and intracranial infections like venus thrombosis of the lateral sinus, epi and subdural abscesses. In this communication we rank the early recognition of the clinical manifestations of this rare complication to sensitize the professionals for its diagnostic and therapeutic approach timely and adequate.

Keywords : GRADENIGO’S SYNDROME; PETROSITIS; OTITIS MEDIA.

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