Juniper Publishers- Open Access of Global Journal of Otolaryngology
Gradenigo Syndrome from Acute Sphenoiditis: A Case Report by Levente S Deak, Jaikishan Mordani, Nanor Tchaghlasian, and David William Saxton in GJO in Juniper Publishers
Infection of paranasal sinuses may spread to the petrous bone and can
present as Gradenigo syndrome. It is commonly associated with otitis
media, however; due to its anatomical position, sphenoid infection
should also be considered. Case Presentation: This case report reports a
case of a 31 yrs old woman who presented with severe unilateral
retro-ocular pain and short term facial paresthesia along with diplopia
and a history of massive nasal blockage for more than 10 days. Nasal
culture indicated growth of Hemophilus Influenza and a computed
tomography (CT) scan confirmed acute infection of the left sphenoethmoid
region and apex of the petrous bone. The mastoid cavity and the ear
status was unremarkable. The patient was treated with third generation
intravenous (IV) cephalosporin and high dosage corticosteroids, along
with proper drainage of the sphenoid cavity by functional endoscopic
sinus surgery. The case was successfully managed without any long term
complication.
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