Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-05-24T04:21:41.342Z Has data issue: false hasContentIssue false
  • English
  • Français

Middle ear infection and sixth nerve palsy

Published online by Cambridge University Press:  29 June 2007

J. J. Homer ,
I. J. M. Johnson  and
N. S. Jones
J. J. Homer*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, Nottingham, UK.
I. J. M. Johnson
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, Nottingham, UK.
N. S. Jones
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, Nottingham, UK.
*
Address for correspondence: Mr J. J. Homer, F.R.C.S., 42 Flax House, Navigation Walk, Victoria Quays, Leeds LS10 1JH. Fax: 01484 482147
Get access Rights & Permissions [Opens in a new window]

Abstract

Three cases of patients with acute middle ear infections complicated by a sixth nerve palsy are described. The possible causes of sixth nerve palsy in such cases are discussed. We propose that where there is a sixth nerve palsy without petrositis and without raised intracranial pressure, it can arise as a result of spreading phlebitis along the inferior petrosal sinus from the lateral sinus.

Keywords

Abducens nerveMastoiditisOtitis Media, Gradenigo syndrome
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 9 , September 1996 , pp. 872 - 874
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

de Graaf, J., Cats, H., de Jager, A. E. J. (1988) Gradenigo's syndrome: a rare complication of otitis media. Clinical Neurology and Neurosurgery 90(3): 237–239.CrossRefGoogle ScholarPubMed
Gradenigo, G. (1904) Sulla leptomeningite circroscritta e sulla parallisi dell'abducente di origine otitica. Giornalle della Accademia di Medicina di Torino 10: 59–84.Google Scholar
Irving, R. M., Jones, N. S., Hall-Craggs, M. A., Kendall, B. (1991) CT and MR imaging in lateral sinus thrombosis. Journal of Laryngology and Otology 105: 693–695.CrossRefGoogle Scholar
Ludman, H. (1988) Mawson's Diseases of the Ear, 5th Edition. Edward Arnold, London, pp 479–536.Google Scholar
O'Connor, A. F. F., Moffat, D. A. (1978) Otogenic intracranial hypertension. Journal of Laryngology and Otology 92: 767–775.CrossRefGoogle ScholarPubMed
Ogle, J. W., Lauer, B. A. (1986) Acute mastoiditis. American Journal of Diseases of Children 140: 1178–1182.CrossRefGoogle ScholarPubMed
Pearson, C. R., Riden, R. J. N., Thomas, M. R. (1994) Two cases of lateral sinus thrombosis presenting with intracranial head and neck abscesses. Journal of Laryngology and Otology 108: 779–782.CrossRefGoogle ScholarPubMed
Pfaltz, C. R., Griesemer, C. (1984) Complications of acute middle ear infections. Annals of Otology, Rhinology and Laryngology 93 (suppl. 112): 133–137.CrossRefGoogle Scholar
Ransome, J. (1987) Acute suppurative otitis media and acute mastoiditis. In Scott-Brown's Otolaryngology. 5th Edition. (Stell, P. M. and Kerr, A. G., eds.) Butterworths, London, pp 203–214.Google Scholar
Singh, B. (1993) The management of lateral sinus thrombosis. Journal of Laryngology and Otology 107: 803–808.CrossRefGoogle ScholarPubMed
Williams, P. L., Warwick, R., Dyson, M., Bannister, L. H. (1989) Gray's Anatomy. 37th Edition, Churchill Livingstone, Edinburgh, pp 799–804, 1107.Google Scholar