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Petrositis With Bilateral Abducens Nerve Palsies complicated by Acute Otitis Media
Petrous apicitis is a rare but fatal complication of otitis media. An infection within the middle ear can extend within the temporal bone into the air cells of the petrous apex. With only the thin dura mater separating the trigeminal ganglion and the 6th cranial nerve from the bony petrous apex, the...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3932351/ https://www.ncbi.nlm.nih.gov/pubmed/24587883 http://dx.doi.org/10.3342/ceo.2014.7.1.59 |
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author | Choi, Kyu Young Park, Su-Kyoung |
author_facet | Choi, Kyu Young Park, Su-Kyoung |
author_sort | Choi, Kyu Young |
collection | PubMed |
description | Petrous apicitis is a rare but fatal complication of otitis media. An infection within the middle ear can extend within the temporal bone into the air cells of the petrous apex. With only the thin dura mater separating the trigeminal ganglion and the 6th cranial nerve from the bony petrous apex, they are vulnerable to inflammatory processes, resulting in deep facial pain, lateral rectus muscle paralysis, and diplopia. In 1904, Gradenigo described a triad of symptoms related to petrous apicitis, including acute suppurative otitis media, deep facial pain resulting from trigeminal involvement, and abducens nerve palsy. It has traditionally been treated with surgery, but recent advances in imaging, with improved antibiotic treatment, allow conservative management. In this case report, we describe a clinical and neuroradiological evolution of a child with a petrous apicitis after acute otitis media, which was managed medically with a positive outcome. |
format | Online Article Text |
id | pubmed-3932351 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-39323512014-03-01 Petrositis With Bilateral Abducens Nerve Palsies complicated by Acute Otitis Media Choi, Kyu Young Park, Su-Kyoung Clin Exp Otorhinolaryngol Case Report Petrous apicitis is a rare but fatal complication of otitis media. An infection within the middle ear can extend within the temporal bone into the air cells of the petrous apex. With only the thin dura mater separating the trigeminal ganglion and the 6th cranial nerve from the bony petrous apex, they are vulnerable to inflammatory processes, resulting in deep facial pain, lateral rectus muscle paralysis, and diplopia. In 1904, Gradenigo described a triad of symptoms related to petrous apicitis, including acute suppurative otitis media, deep facial pain resulting from trigeminal involvement, and abducens nerve palsy. It has traditionally been treated with surgery, but recent advances in imaging, with improved antibiotic treatment, allow conservative management. In this case report, we describe a clinical and neuroradiological evolution of a child with a petrous apicitis after acute otitis media, which was managed medically with a positive outcome. Korean Society of Otorhinolaryngology-Head and Neck Surgery 2014-03 2014-02-05 /pmc/articles/PMC3932351/ /pubmed/24587883 http://dx.doi.org/10.3342/ceo.2014.7.1.59 Text en Copyright © 2014 by Korean Society of Otorhinolaryngology-Head and Neck Surgery. http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Choi, Kyu Young Park, Su-Kyoung Petrositis With Bilateral Abducens Nerve Palsies complicated by Acute Otitis Media |
title | Petrositis With Bilateral Abducens Nerve Palsies complicated by Acute Otitis Media |
title_full | Petrositis With Bilateral Abducens Nerve Palsies complicated by Acute Otitis Media |
title_fullStr | Petrositis With Bilateral Abducens Nerve Palsies complicated by Acute Otitis Media |
title_full_unstemmed | Petrositis With Bilateral Abducens Nerve Palsies complicated by Acute Otitis Media |
title_short | Petrositis With Bilateral Abducens Nerve Palsies complicated by Acute Otitis Media |
title_sort | petrositis with bilateral abducens nerve palsies complicated by acute otitis media |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3932351/ https://www.ncbi.nlm.nih.gov/pubmed/24587883 http://dx.doi.org/10.3342/ceo.2014.7.1.59 |
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