Gradenigo syndrome: treatment and sequels

Detalhes bibliográficos
Autor(a) principal: Carvalho, Filipa
Data de Publicação: 2019
Outros Autores: Silva, Clara, Ferreira, Mafalda, Areias, Catarina, Romão, José, Miguéis, Maria do Carmo, Silva, Luís
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: https://doi.org/10.34631/sporl.764
Resumo: A 41-year-old female, went to emergency department for horizontal diplopia, facial pain, otorrhea, hearing loss and left otalgia, with a week of evolution. The fisical examination reveled limitation of the left eye abduction, exudate in middle left ear, abcense of facial palsy or spontaneous nystagmus. Of the complementary study carried out, the following stand out: evidence of left apical petrositis, left cavernous sinus thrombosis and partial occlusion of the petrous segment of the internal carotid artery. The medical treatment consisted of corticotherapy, wide-spectrum antibiotic therapy and antiaggregation. Surgical treatment included myringotomy at the emergency department, with collection of exudate, and mastoidectomy one week after the beginning of the treatment. In the follow-up, a complete recovery of the ocular movements of the left eye was observed, but there was a worsening of the auditory function.
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spelling Gradenigo syndrome: treatment and sequelsSíndrome de Gradenigo: tratamento e sequelasGradenigo's syndromeApical petrositiscomplications of otitis mediaSíndome de GradenigoPetrosite apicalcomplicações de otites médiasA 41-year-old female, went to emergency department for horizontal diplopia, facial pain, otorrhea, hearing loss and left otalgia, with a week of evolution. The fisical examination reveled limitation of the left eye abduction, exudate in middle left ear, abcense of facial palsy or spontaneous nystagmus. Of the complementary study carried out, the following stand out: evidence of left apical petrositis, left cavernous sinus thrombosis and partial occlusion of the petrous segment of the internal carotid artery. The medical treatment consisted of corticotherapy, wide-spectrum antibiotic therapy and antiaggregation. Surgical treatment included myringotomy at the emergency department, with collection of exudate, and mastoidectomy one week after the beginning of the treatment. In the follow-up, a complete recovery of the ocular movements of the left eye was observed, but there was a worsening of the auditory function.Sexo feminino de 41 anos, recorreu ao serviço de urgência por um quadro de diplopia horizontal, dor facial, otorreia, hipoacusia e otalgia esquerda com uma semana de evolução. Ao exame objetivo constatou-se a presença de limitação da abdução do olho esquerdo, preenchimento do ouvido médio esquerdo com exsudato, sem parésia facial periférica associada ou nistagmo espontâneo. Do estudo complementar realizado destaca-se: existência de petrosite apical esquerda, trombose do seio cavernoso esquerdo e oclusão parcial do segmento petroso da artéria carótida interna. Realizou tratamento médico com corticoterapia, antibioterapia de largo espectro e antiagregação plaquetária. O tratamento cirúrgico incluiu a realização de miringotomia no serviço de urgência, com colheita do exsudato da caixa, e mastoidectomia uma semana após o início do tratamento. No follow-up constatou-se uma recuperação total dos movimentos oculares do olho esquerdo, ocorrendo contudo um agravamento da função auditiva.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2019-11-24info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.764https://doi.org/10.34631/sporl.764Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 57 No. 1 (2019): March; 37-40Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 57 Núm. 1 (2019): Março; 37-40Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 57 N.º 1 (2019): Março; 37-402184-6499reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2278https://journalsporl.com/index.php/sporl/article/view/2278/281Direitos de Autor (c) 2019 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessCarvalho, FilipaSilva, ClaraFerreira, MafaldaAreias, CatarinaRomão, JoséMiguéis, Maria do CarmoSilva, Luís2024-06-06T12:57:45Zoai:journalsporl.com:article/2278Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:53:36.305821Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Gradenigo syndrome: treatment and sequels
Síndrome de Gradenigo: tratamento e sequelas
title Gradenigo syndrome: treatment and sequels
spellingShingle Gradenigo syndrome: treatment and sequels
Carvalho, Filipa
Gradenigo's syndrome
Apical petrositis
complications of otitis media
Síndome de Gradenigo
Petrosite apical
complicações de otites médias
title_short Gradenigo syndrome: treatment and sequels
title_full Gradenigo syndrome: treatment and sequels
title_fullStr Gradenigo syndrome: treatment and sequels
title_full_unstemmed Gradenigo syndrome: treatment and sequels
title_sort Gradenigo syndrome: treatment and sequels
author Carvalho, Filipa
author_facet Carvalho, Filipa
Silva, Clara
Ferreira, Mafalda
Areias, Catarina
Romão, José
Miguéis, Maria do Carmo
Silva, Luís
author_role author
author2 Silva, Clara
Ferreira, Mafalda
Areias, Catarina
Romão, José
Miguéis, Maria do Carmo
Silva, Luís
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Carvalho, Filipa
Silva, Clara
Ferreira, Mafalda
Areias, Catarina
Romão, José
Miguéis, Maria do Carmo
Silva, Luís
dc.subject.por.fl_str_mv Gradenigo's syndrome
Apical petrositis
complications of otitis media
Síndome de Gradenigo
Petrosite apical
complicações de otites médias
topic Gradenigo's syndrome
Apical petrositis
complications of otitis media
Síndome de Gradenigo
Petrosite apical
complicações de otites médias
description A 41-year-old female, went to emergency department for horizontal diplopia, facial pain, otorrhea, hearing loss and left otalgia, with a week of evolution. The fisical examination reveled limitation of the left eye abduction, exudate in middle left ear, abcense of facial palsy or spontaneous nystagmus. Of the complementary study carried out, the following stand out: evidence of left apical petrositis, left cavernous sinus thrombosis and partial occlusion of the petrous segment of the internal carotid artery. The medical treatment consisted of corticotherapy, wide-spectrum antibiotic therapy and antiaggregation. Surgical treatment included myringotomy at the emergency department, with collection of exudate, and mastoidectomy one week after the beginning of the treatment. In the follow-up, a complete recovery of the ocular movements of the left eye was observed, but there was a worsening of the auditory function.
publishDate 2019
dc.date.none.fl_str_mv 2019-11-24
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.764
https://doi.org/10.34631/sporl.764
url https://doi.org/10.34631/sporl.764
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2278
https://journalsporl.com/index.php/sporl/article/view/2278/281
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 57 No. 1 (2019): March; 37-40
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 57 Núm. 1 (2019): Março; 37-40
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 57 N.º 1 (2019): Março; 37-40
2184-6499
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
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instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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