Anzeige
Erschienen in:
04.10.2019 | Neuro-Images
Gradenigo’s syndrome in a woman with systemic lupus erythematosus
Erschienen in: Acta Neurologica Belgica | Ausgabe 1/2020
Einloggen, um Zugang zu erhaltenExcerpt
A 37-year-old woman with systemic lupus erythematosus under regular treatment, presented with diplopia, facial pain, otalgia and otorrhea in right ear for 4 weeks. Neurologic examination showed right abducens nerve palsy (Fig. 1). The triad of Gradenigo’s syndrome classically consists of retroorbital or periauricular pain due to inflammation/irritation of the first (ophthalmic) division of the trigeminal nerve, diplopia due to inflammation of the abducens (sixth cranial) nerve in Dorello’s canal, and a draining ear due to florid otitis media causing petrous apicitis [1, 2].
Fig. 1
Extrinsic ocular motility with paralysis of the right lateral rectus muscle on attempted conjugate lateral gaze to the right side
× ![]()
…