A cause of jaw pain

Definition: A triad of otitis media,

severe pain originating from the

trigeminal nerve, and ipsilateral sixth
cranial nerve (abducens) palsy

Symptoms are related to the

inflammation of the petrous apex of

the temporal bone which stems from a
medial extension of acute otitis media

This medial extension is located

around the trigeminal ganglion on

sixth cranial nerve which causes the
symptoms

 Inflammation of the petrous bone

typically secondary to otitis media

(ear infection), rarely bone tumor,
traumatic aneurysm cholestatoma,
and T-cell lymphoma

Pyogenic bacteria including

staphylococcus aureus and

Pseudomonas aeruginosa

Or Nontuberculous mycobacterium

(NTM)

In the soil, water, plants and animal

excreta

 Facial pain, ear pain, and/or jaw pain

Abduces Weakness

Diplopia
Abduction weakness on ipsilateral eye
Severe headache
Hypoesthesia of the face

Diploplia

May have absence of corneal reflex

Hearing impairment

Facial Pain

 MRI
Computer-assisted tomographic images
Blood cultures
Otoscopic examination

 IV Antibiotics and oral antibiotics

Surgical drainage

Morales, C., & Tachauer, A. (1997). Gradenigo syndrome in a human immunodeficiency

virus-positive patient. Archives Of Internal Medicine, 157(18), 2149.
Chen, P., Wu, C., Yang, T., Hsu, C., Lin, Y., & Lin, K. (2014). Gradenigo syndrome caused by
nontuberculous mycobacteria. Audiology & Neurotology, 19(4), 275-282.
doi:10.1159/000360413
Yuvatiya, P., Siriporn, H., & Weerawat, K. (2014). Gradenigo's syndrome secondary to
chronic otitis media on a background of previous radical mastoidectomy: a case report.
Journal Of Medical Case Reports, 8(1), 1-11. doi:10.1186/1752-1947-8-21