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Papers of the Week

2021 Jan 28

Ear Nose Throat J

Diplopia in a Child: Gradenigo Syndrome Is an Unforgettable Disease.


Chan K-C, Chen S-L
Ear Nose Throat J. 2021 Jan 28:145561321989459.
PMID: 33507110.


Gradenigo syndrome is a clinical triad of abducens nerve palsy, retro-orbital pain (trigeminal ganglionitis), and chronic otorrhea (otitis media). The etiology of Gradenigo syndrome results from apical petrositis secondary to suppurative otitis media. Although apical petrositis has gradually become uncommon in modern society due to the widespread use of antibiotics, Gradenigo syndrome should be considered in the differential diagnosis of a child's diplopia.