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

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...

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Main Authors: Azizullah Beran, Nameer Aladamat, Mustafa Alchalabi, Mohammed Mhanna, Omar Srour, Yasmin Khader, Ammar Kayyali
Format: Article
Language:English
Published: SMC MEDIA SRL 2022-07-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/3433
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author Azizullah Beran
Nameer Aladamat
Mustafa Alchalabi
Mohammed Mhanna
Omar Srour
Yasmin Khader
Ammar Kayyali
author_facet Azizullah Beran
Nameer Aladamat
Mustafa Alchalabi
Mohammed Mhanna
Omar Srour
Yasmin Khader
Ammar Kayyali
author_sort Azizullah Beran
collection DOAJ
description 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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spelling doaj.art-b22001a62dc04ca595a37fe405fc46862022-12-22T01:44:34ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942022-07-0110.12890/2022_0034332968Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous ApicectomyAzizullah Beran0Nameer Aladamat1Mustafa Alchalabi2Mohammed Mhanna3Omar Srour4Yasmin Khader5Ammar Kayyali6Department of Internal Medicine, University of Toledo, Toledo, OH, USA Department of Neurology, University of Toledo, Toledo, OH, USADepartment of Neurology, University of Toledo, Toledo, OH, USADepartment of Internal Medicine, University of Toledo, Toledo, OH, USADepartment of Internal Medicine, University of Toledo, Toledo, OH, USADepartment of Internal Medicine, University of Toledo, Toledo, OH, USADepartment of Internal Medicine, University of Toledo, Toledo, OH, USAGradenigo 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.https://www.ejcrim.com/index.php/EJCRIM/article/view/3433gradenigo syndromeelderlyabducens nerve palsy
spellingShingle Azizullah Beran
Nameer Aladamat
Mustafa Alchalabi
Mohammed Mhanna
Omar Srour
Yasmin Khader
Ammar Kayyali
Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous Apicectomy
European Journal of Case Reports in Internal Medicine
gradenigo syndrome
elderly
abducens nerve palsy
title Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous Apicectomy
title_full Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous Apicectomy
title_fullStr Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous Apicectomy
title_full_unstemmed Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous Apicectomy
title_short Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous Apicectomy
title_sort atypical gradenigo syndrome in an elderly man resolved with mastoidectomy and petrous apicectomy
topic gradenigo syndrome
elderly
abducens nerve palsy
url https://www.ejcrim.com/index.php/EJCRIM/article/view/3433
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