외전신경 마비를 동반한 추체염
A Case of Petrositis with Abducens Palsy
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Abstract
Petrous apicitis is an extension of infection from the mastoid air cell tract into petrous apex. Petrous apicitis, a potentially fatalcomplication of suppurative otitis media, presents a variety of symptoms. But the classical findings of petrous apicitis, calledGradenigos syndrome that include abducens nerve palsy, deep facial pain and acute suppurative otitis media, rarely occur.Gradenigos syndrome can be treated with surgery, but the advent of antibiotics and early imaging study allow conservativetreatment in some uncomplicated cases. With the widespread use of antibiotics, petrous apicitis has become an uncommon disease.So most physicians have little clinical experience in their diagnosis and treatment of this disease. We present a case of Gradenigossyndrome, which was unresponsive to conservative treatment. We provide here details of our experience of treating thepatient with surgery without complication. (Korean J Otolaryngol 2006;49:869-72)
참고문헌 (13)
- "Complication of suppurative otitis media Mawsons Diseases of the Ear", pp.479~536 (1988), Oxford University
- "Clinicalexperience of acute mastoiditis in recent 10 years", 41(4), pp.461~466 (1999)
- "Gradenigos syndrome: Successfulconservative treatment in adult and paediatric patients", 119(4), pp.325~329 (2005)
- "Petrous apicitis.Clinical considerations", 92, pp.544~51 (1983)
- "Ueber die paralyse des nervus abducens bei otitis", 774, pp.149~87 (1907)
- "Petrositis", 71, pp.800~13 (1961)
- "Gradenigos syndrome revisited", 12, pp.169~74 (1983)
- "Intratemporal and intracranial complications of otitis media", pp.1607~20 (1993), JB Lippincott
- "Pathology of petrositis", 78, pp.1813~32 (1968)
- "Radiographic differential diagnosis of petrousapex lesions", 13, pp.561~74 (1992)
- "Management of abducens palsy in patientswith petrositis", 108(4), pp.897~902 (1999)
- "A case of cavernous sinus thrombophlebitisand abducence nerve palsy secondary to petrositis", 45(1), pp.82~85 (2002)
- "Petrous apex and subarcuate fossa maturation", 97, pp.1129~35 (1987)