Gradenigo’s Syndrome Without Facial Nerve Involvement in a Fourteen-Month-Old Girl

AUTHORS

Ali Nikkhah 1 , *

1 Division of Pediatric Neurology, Pediatrics Ward, Golestan Hospital, Ahvaz, Iran

How to Cite: Nikkhah A. Gradenigo’s Syndrome Without Facial Nerve Involvement in a Fourteen-Month-Old Girl, Jentashapir J Cell Mol Biol. 2014 ; 5(4):e94073. doi: 10.5812/jjhr.21889.

ARTICLE INFORMATION

Jentashapir Journal of Health Research: 5 (4); e94073
Published Online: August 04, 2014
Article Type: Case Report
Received: May 19, 2019
Accepted: December 21, 2013
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Abstract

Introduction: Gradenigo’s syndrome consists of ophthalmoplegia, facial palsy, and facial pain due to involvement of abducens and facial nerves as well as the trigeminal ganglion. This involvement is due to infections of ipsilateral middle ear and mastoid bone.

Case Presentation: A 14-month-old girl was referred to a private clinic with chief complaint of acute and sudden-onset right ophthalmoplegia. There was a history of upper respiratory tract infection and subsequent otitis media one week ago. Right mastoiditis was seen in brain MRI.

Conclusions: The presence of facial palsy and facial pain is usual in Gradenigo’s syndrome; however, in this case, the only sign was abducens nerve palsy and subsequent ophthalmoplegia, which is very rare and unusual presentation of this syndrome.

Keywords

Gradenigo's Syndrome Atypical Facial Palsy

© 2014, School of Medicine, Ahvaz Jundishapur University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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