Gradenigo's Syndrome and Vernet Syndrome as Presenting Signs of Nasopharyngeal Carcinoma.

Autor:	Robinson C; Internal Medicine, Henry Ford Health System, Jackson, USA., Maraj D; Internal Medicine, Henry Ford Health System, Jackson, USA., Minhas JS; Medicine, St. George's University School of Medicine, St. George's, GRD., Bhatia M; Internal Medicine, Henry Ford Health System, Jackson, USA., Kak V; Infectious Disease, Henry Ford Health System, Jackson, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Jul 10; Vol. 15 (7), pp. e41636. Date of Electronic Publication: 2023 Jul 10 (Print Publication: 2023).
DOI:	10.7759/cureus.41636
Abstrakt:	Both Gradenigo's syndrome and Vernet syndrome are rare pathologies of the intracranial space; both involve compression of a particular anatomic location in the skull, thus affecting structures nearby or within that space. A patient presenting with one or both of these syndromes should raise concern for malignancy, head trauma, or an intracranial infection. We present a case of a 39-year-old female with three weeks of left-sided ear, face, and neck pain along with difficulty swallowing and reduced vision in the left eye. Magnetic resonance imaging of the brain revealed fullness in the left nasopharyngeal region, raising concern for malignancy or infection. Biopsy of the mass ultimately revealed Epstein-Barr virus positive nasopharyngeal carcinoma, nonkeratinizing undifferentiated type, along with culture data revealing methicillin-resistant Staphylococcus aureus positive left otomastoiditis. She received chemoradiation therapy along with six weeks of antibiotic therapy. A patient presenting with symptoms reflective of a sinus infection unrelieved by antibiotics with concomitant cranial nerve deficits should raise clinical concern for an intracranial pathology rather than a simple case of sinusitis. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Robinson et al.)
Databáze:	MEDLINE
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