Abstract:A 51-year-old male presented with history of long standing on and off discharge from his left ear with increasing purulent discharge from the left ear since 30 days and double vision since last 7 days. He also had pain in left fronto-temporal area. Clinical examination revealed left abducens nerve palsy and perforation in left tympanic membrane. CT head showed left apical petrositis. He was diagnosed as a case of Gradenigo's syndrome.
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