| Abstrakt: |
Introduction: Gandenigo Syndrome is a rare complication of chronic otitis media, comprising the triad of purulent otorrhea, abducens nerve palsy and pain in the topography of the trigeminal nerve innervation. The pathology is associated with infectious involvement of the apex of the petrous part of the temporal bone and adjacent areas. Due to its harmful consequences, surgical treatment is recommended. Early conservative treatment, in turn, has been indicated for being able to reverse signs and symptoms and minimize the occurrence of sequelae. Objectives: Report the presentation of the pathology in its early diagnosis and the benefits of conservative treatment Resumed report: LVABS, 18 years old, with intense otalgia, radiating to the temporal region and hemiface associated with ipsilateral seropurulent otorrhea, convergent strabismus and visual clouding. The picture started one week ago and progressively evolved. CT scan revealed chronic mastoiditis, without signs of encephalic involvement, MRI of the brain confirmed petrositis in addition to, involvement of nerve pairs in this topography. From these clinical and radiographic findings it was diagnosis of Gandenigro syndrome was made. A conservative approach with intravenous antibiotic therapy was decided. The patient responded positively, showing improvement in the infectious condition and clinical recovery. Conclusion: Despite being rare, Gandenigro syndrome should always be considered in patients with suggestive clinical findings. The early clinical approach has shown an important response, and the surgical approach should be reserved for chronic conditions and when there is no response to clinical treatment. [ABSTRACT FROM AUTHOR] |
