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An Interesting Case of Gradenigo Syndrome

Kristen L Suzich1, Sarah Adelson2, Catherine S Choi2

  • 1a School of Medicine , University of Maryland , Baltimore , Maryland.

Journal of Binocular Vision and Ocular Motility
|January 8, 2019
PubMed

Insights

Gradenigo syndrome, a rare complication of acute otitis media, can cause acquired esotropia in young children. Prompt antibiotic treatment led to resolution in a 22-month-old patient, highlighting the importance of early intervention.

Area of Science:

  • Pediatric Otolaryngology
  • Neuro-ophthalmology

Background:

  • Gradenigo syndrome is a rare but serious complication of acute otitis media.
  • It involves petrous apicitis, leading to cranial nerve palsies, typically the abducens nerve.

Observation:

  • A 22-month-old girl presented with acute, acquired esotropia.
  • This condition was associated with recurrent episodes of otitis media.

Findings:

  • The patient's acquired esotropia resolved completely following antibiotic treatment for otitis media.
  • This case represents one of the youngest reported instances of presumed Gradenigo syndrome.

Implications:

  • This case underscores the importance of considering Gradenigo syndrome in pediatric patients with otitis media and ophthalmological symptoms.
  • Early diagnosis and prompt antibiotic therapy are crucial for favorable outcomes and preventing long-term complications.
  • Further research into the pathophysiology and management of Gradenigo syndrome in young children is warranted.

Keywords:
Gradenigo syndromeand strabismusocular complicationsotitis media

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