EC Ophthalmology

Gradenigo syndrome is a rare but life threatening complication of acute otitis media and/or mastoiditis that needs proper diagnosis and management. Clinically, it is characterized by the triad otitis media, facial pain, and abducens palsy. The majority of cases are secondary to infection requiring long-term antibiotics; refractory cases may require surgical intervention. Knowledge of the etiology and appropriate investigations can facilitate the diagnosis and adequate treatment. We herein present a 4-year-old child diagnosed with otalgia, headache, esotropia, and diplopia. The patient was treated with proper antibiotics and showed good outcomes. This case report highlights the importance of early detection and understanding of the clinical picture associated with Gradenigo syndrome, which have a crucial role in achieving desired outcomes and avoiding serious complications. Gradenigo syndrome should be included in the differential diagnosis of diplopia.

 Keywords: Diplopia; Mastoiditis; Otitis Media; Gradenigo Syndrome; Abducens Nerve, Case Report

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