Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous Apicectomy
  • Azizullah Beran
    Department of Internal Medicine, University of Toledo, Toledo, OH, USA
  • Nameer Aladamat
    Department of Neurology, University of Toledo, Toledo, OH, USA
  • Mustafa Alchalabi
    Department of Neurology, University of Toledo, Toledo, OH, USA
  • Mohammed Mhanna
    Department of Internal Medicine, University of Toledo, Toledo, OH, USA
  • Omar Srour
    Department of Internal Medicine, University of Toledo, Toledo, OH, USA
  • Yasmin Khader
    Department of Internal Medicine, University of Toledo, Toledo, OH, USA
  • Ammar Kayyali
    Department of Internal Medicine, University of Toledo, Toledo, OH, USA

Keywords

Gradenigo syndrome, elderly, abducens nerve palsy

Abstract

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 atypical 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.

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    Published: 2022-07-19
    Issue: 2022: Vol 9 No 7 (view)


    How to cite:
    1.
    Beran A, Aladamat N, Alchalabi M, Mhanna M, Srour O, Khader Y, Kayyali A. Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous Apicectomy . EJCRIM 2022;9 doi:10.12890/2022_003433.