Gradenigo syndrome occurs due to the progression of untreated or partially treated otitis media that spreads to the petrous apex of the temporal bone . The infection is usually caused by Streptococcus pneumoniae, Haemophilus influenzae, Pseudomonas, and Staphylococcus aureus. The causative organism travels from the middle ear to the mastoid air cells , which contain a highly vascular marrow. It can then spread to the adjacent petrous temporal bone and the surrounding vital structures such as the trigeminal ganglion and abducens nerve.

Inflammation in this region can damage these nerves, causing neurosensory manifestations. Which among the following is NOT a classic sign of Gradenigo Syndrome? Otorrhea Conductive hearing loss Facial pain Horizontal diplopia (The answer is posted in the comment section below!) ##Disclaimer## The content provided on Docplexus is intended for educational…