Представлено клиническое наблюдение – редко встречаемый синдром Градениго у ребенка 4 лет. Приведены результаты комплексной лучевой диагностики пациента (мультиспиральная компьютерная томография, магнитно-резонансная томография), которые позволили провести дифференциальную диагностику с опухолевым процессом и определить тактику лечения пациента.
We showed the clinical observation of rarely seen Gradenigo’s syndrome in 4-year-old child. The results of complex radiologic imaging findings of diseases of each patient (multislice computed tomography, magnetic resonance imaging) were showed in the observation and these results allowed to make differential diagnosis with neoplasms and to determine the therapeutic approach.
1. Homer JJ, Johnson IJ, Jones NS. Middle ear infection and sixth nerve palsy. J Laryngol Otol 1996; 110 (9): 872–4.
2. Flint PW, Haughey BH, Robbins KT et al. Cummings Otolaryngology. Head and Neck Surgery 6th Edition Elsevier 2015: 2154–54.
3. Choi KY, Park S-K. Petrositis With Bilateral Abducens Nerve Palsies complicated by Acute Otitis Media. Clin Exp Otorhinolaryngol 2014 Mar; 7 (1): 59–62. DOI: 0.3342/ceo.2014.7.1.59
4. Heshin-Bekenstein M, Megged O, Peleg U et al. Gradenigo's syndrome: is fusobacterium different? Two cases and review of the literature. In J Pediatric Otorhinolaryngology 2014; 78 (1): 166–9. DOI: 10.1016/j.ijporl.2013.11.004
5. Khalatbari MR, Hamidi M, Moharamzad Y. Gradenigo's syndrome as first presentation of solitary osseous plasmacytoma of the petrous apex. Arch Iran Med 2014; 17 (7): 526–8. DOI: 0141707/AIM.0016
6. Богомильский М.Р., Полунин М.М., Зеликович Е.И и др. Апикальный петрозит, остеомиелит костей основания черепа и первого шейного позвонка у ребенка 5 лет после ветряной оспы. Вестн. оториноларингологии. 2016; 1: 61–3. DOI: 10.17116/otorino201681161-63 / Bogomil'skii M.R., Polunin M.M., Zelikovich E.I i dr. Apikal'nyi petrozit, osteomielit kostei osnovaniia cherepa i pervogo sheinogo pozvonka u rebenka 5 let posle vetrianoi ospy. Vestn. otorinolaringologii. 2016; 1: 61–3. DOI: 10.17116/otorino201681161-63 [in Russian]
7. Plodpai Y, Hirunpat S, Kiddee W. Gradenigo’s syndrome secondary to chronic otitis media on a background of previous radical mastoidectomy: a case report. J Med Case Rep 2014. 8: 217. Published online 2014 Jun 23. DOI: 10.1186/1752-1947-8-217
8. Ricks RG, Hollis L. Embryonic rhabdomyosarcoma presenting as Gradenigo’s syndrome. BM J Case Reports 2012. DOI: 10.1136/bcr.08.2011.4723
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1. Homer JJ, Johnson IJ, Jones NS. Middle ear infection and sixth nerve palsy. J Laryngol Otol 1996; 110 (9): 872–4.
2. Flint PW, Haughey BH, Robbins KT et al. Cummings Otolaryngology. Head and Neck Surgery 6th Edition Elsevier 2015: 2154–54.
3. Choi KY, Park S-K. Petrositis With Bilateral Abducens Nerve Palsies complicated by Acute Otitis Media. Clin Exp Otorhinolaryngol 2014 Mar; 7 (1): 59–62. DOI: 0.3342/ceo.2014.7.1.59
4. Heshin-Bekenstein M, Megged O, Peleg U et al. Gradenigo's syndrome: is fusobacterium different? Two cases and review of the literature. In J Pediatric Otorhinolaryngology 2014; 78 (1): 166–9. DOI: 10.1016/j.ijporl.2013.11.004
5. Khalatbari MR, Hamidi M, Moharamzad Y. Gradenigo's syndrome as first presentation of solitary osseous plasmacytoma of the petrous apex. Arch Iran Med 2014; 17 (7): 526–8. DOI: 0141707/AIM.0016
6. Bogomil'skii M.R., Polunin M.M., Zelikovich E.I i dr. Apikal'nyi petrozit, osteomielit kostei osnovaniia cherepa i pervogo sheinogo pozvonka u rebenka 5 let posle vetrianoi ospy. Vestn. otorinolaringologii. 2016; 1: 61–3. DOI: 10.17116/otorino201681161-63 [in Russian]
7. Plodpai Y, Hirunpat S, Kiddee W. Gradenigo’s syndrome secondary to chronic otitis media on a background of previous radical mastoidectomy: a case report. J Med Case Rep 2014. 8: 217. Published online 2014 Jun 23. DOI: 10.1186/1752-1947-8-217
8. Ricks RG, Hollis L. Embryonic rhabdomyosarcoma presenting as Gradenigo’s syndrome. BM J Case Reports 2012. DOI: 10.1136/bcr.08.2011.4723
ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф.Владимирского». 129110, Россия, Москва, ул. Щепкина, д. 61/2 *stepanova-moniki@mail.ru