Otits media is a common problem. Some of its complications that were seen frequently in the preantibiotic era are rare today. We report a case of an 8 year boy who presented with earache, retro-orbital pain and diplopia secondary to a sixth nerve palsy--Gradenigo's syndrome. In this syndrome infection from the middle ear spreads medially to the petrous apex of the temporal bone. Work-up includes CT scan of the temporal bones. Timely management with intravenous antibiotics (+ surgery) is needed to prevent intra-cranial complications.
Journal of the Pakistan Medical Association
(2011). Gradenigo's syndrome--surgical management in a child. Journal of the Pakistan Medical Association, 61(4), 393-4.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_surg_gen/18