Related Experiment Video
Updated: Jun 15, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Diffusion-weighted MRI identifies petrous apex abscess in Gradenigo syndrome
Mohannad Ibrahim1, Gaurang Shah, Hemant Parmar
1Department of Radiology (Neuroradiology), University of Michigan Medical System, Ann Arbor, Michigan 48109, USA. mibrahim@umich.edu
Abstract:
A 12-year-old boy developed fever, trigeminal pain, altered mental status, and a sixth cranial nerve palsy, features of Gradenigo syndrome. Diffusion-weighted MRI demonstrated restricted diffusion in the ipsilateral petrous apex, identifying an abscess as the cause of his manifestations. The patient was successfully treated with broad-spectrum antibiotics. This is the first report demonstrating the use of diffusion-weighted imaging in Gradenigo syndrome.
Related Concept Videos
Brain Abscess l: Introduction
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Assessment of Diffusion and Perfusion
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this principle...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Magnetic Resonance Imaging
