Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous Apicectomy

Azizullah Beran, Nameer Aladamat, Mustafa Alchalabi, Mohammed Mhanna, Omar Srour, Yasmin Khader, Ammar Kayyali
2022 European Journal of Case Reports in Internal Medicine  
Gradenigo syndrome (GS) was described primarily in the paediatric population, especially in the pre-antibiotic era. GS is rarely reported in the elderly population, especially in the post-antibiotic era. We present the rare case of a 67-year-old man who presented with an incomplete triad of symptoms (without abducens nerve palsy) of GS that failed medical therapy and was successfully treated with surgical intervention (mastoidectomy and petrous apicectomy). Physicians should be familiar with
more » ... pical presenting symptoms of GS as it can lead to life-threatening complications, especially in the elderly. GS cases resistant to medical therapy may require prompt appropriate imaging studies and surgical intervention.
doi:10.12890/2022_003433 fatcat:qehoo3cykjgnngig3u6to4m3bu