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Case Reports
. 2010 Mar;30(1):34-6.
doi: 10.1097/WNO.0b013e3181c5d0fd.

Diffusion-weighted MRI identifies petrous apex abscess in Gradenigo syndrome

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Case Reports

Diffusion-weighted MRI identifies petrous apex abscess in Gradenigo syndrome

Mohannad Ibrahim et al. J Neuroophthalmol. 2010 Mar.

Abstract

A 12-year-old boy developed fever, trigeminal pain, altered mental status, and a sixth cranial nerve palsy, features of Gradenigo syndrome. Diffusion-weighted MRI demonstrated restricted diffusion in the ipsilateral petrous apex, identifying an abscess as the cause of his manifestations. The patient was successfully treated with broad-spectrum antibiotics. This is the first report demonstrating the use of diffusion-weighted imaging in Gradenigo syndrome.

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