Prolonged diplopia following sinus vein thrombosis mimicking Gradenigo's syndrome.

Int J Pediatr Otorhinolaryngol

Department of Otorhinolaryngology, University of Ulm, Frauensteige 12, 89075 Ulm, Germany.

Published: April 2006

We report about a boy with the symptoms of Gradenigo's syndrome (abducens nerve palsy, acute otitis media, unilateral headache). The MR imaging showed a sinus vein thrombosis instead of the expected petroapicitis. After 2 weeks of conservative therapy with antibiotics and anticoagulation, without any clinical effort the boy underwent a mastoidectomy. Headache and otitis media recovered quickly but the diplopia still remained after 25 months.

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http://dx.doi.org/10.1016/j.ijporl.2005.09.012DOI Listing

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