Hassan Nabeel Humayun, Shabbir Akhtar, Shakeel Ahmed.
Gradenigo's syndrome - surgical management in a child.
J Pak Med Assoc Jan ;61(4):393-4.

Otits media is a common problem. Some of its complications that were seen frequently in the preantibiotic era are rare today. We report a case of an 8 year boy who presented with earache, retro-orbital pain and diplopia secondary to a sixth nerve palsy - Gradenigo\'s syndrome. In this syndrome infection from the middle ear spreads medially to the petrous apex of the temporal bone. Work-up includes CT scan of the temporal bones. Timely management with intravenous antibiotics ( surgery) is needed to prevent intra-cranial complications.

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