PURPOSE: To describe the clinical and magnetic resonance imaging findings of a patient with Gradenigo syndrome. METHODS: A 4 1/4 -year-old boy developed Gradenigo syndrome with Unilateral facial pain, ophthalmoplegia, and facial weakness secondary to ipsilateral otitis media. The clinical, laboratory, and radiologic findings are discussed. RESULTS: The patient was treated with antibiotics and had complete resolution of symptoms and signs. CONCLUSION: Ophthalmologists should be aware of the potential for petrosal involvement of cranial nerves secondary to otitis media and Gradenigo syndrome.
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