| Gradenigo syndrome: a case report and review of a rare complication of otitis media. | |
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MedLine Citation:
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PMID: 15388211 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Otitis media is a commonly seen condition in the Emergency Department. The complications of otitis media that were seen frequently in the preantibiotic era are now rare today. We report a case of a diabetic man who presented with otorrhea, retro-orbital pain, and diplopia secondary to a sixth cranial nerve palsy--Gradenigo syndrome. This syndrome occurs as infection from the middle ear spreads medially to the petrous portion of the temporal bone. The emergency physician should consider this condition in patients with chronic ear drainage or pain not responsive to conventional treatment or in any patient with a cranial nerve palsy in the setting of acute or chronic otitis. Work-up should include a CT scan of the temporal bones. Otolaryngology consultation and admission for i.v. antibiotics is recommended. |
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Authors:
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Scott C Sherman; Ann Buchanan |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of emergency medicine Volume: 27 ISSN: 0736-4679 ISO Abbreviation: J Emerg Med Publication Date: 2004 Oct |
Date Detail:
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Created Date: 2004-09-24 Completed Date: 2005-04-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 253-6 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Cook County Hospital, Chicago, Illinois 60612, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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therapeutic use Brain / radiography Cerebrospinal Fluid Otorrhea / etiology Cranial Nerve Diseases / etiology* Cranial Sinuses / radiography, surgery Emergency Medical Services Headache / diagnosis, etiology Humans Magnetic Resonance Imaging Male Middle Aged Otitis Media / complications*, diagnosis, therapy Sinus Thrombosis, Intracranial / etiology Sinusitis / diagnosis, therapy Syndrome Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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