Clinical and magnetic resonance imaging features of Gradenigo syndrome

Purpose To describe the clinical and magnetic resonance imaging findings of a patient with Gradenigo syndrome. Methods A 4 1/2-year-old boy developed Gradenigo syndrome with unilateral facial pain, ophthalmoplegia, and facial weakness secondary to ipsilateral otitis media. The clinical, laboratory, and radiologic findings are discussed. Results The patient was treated with antibiotics and had complete resolution of symptoms and signs. Conclusion Ophthalmologists should be aware of the potential for petrosal involvement of cranial nerves secondary to otitis media and Gradenigo syndrome.