CC BY-NC-ND 4.0 · Laryngorhinootologie 2019; 98(S 02): S312
DOI: 10.1055/s-0039-1686370
Georg Thieme Verlag KG Stuttgart · New York

A case report of a Silent Petrous Apicitis without Gradenigo's syndrome

F Filipova-Kamisheva
1  'KASPELA' University Hospital, Plovdiv, Bulgaria
T Minkov
2  'KASPELA'University Hospital, Plovdiv, Bulgaria
R Dimitrov
2  'KASPELA'University Hospital, Plovdiv, Bulgaria
I Doykov
2  'KASPELA'University Hospital, Plovdiv, Bulgaria
M Diba
3  'KASPELA' University Plovdiv, Plovdiv, Bulgaria
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2019 (online)


Petrous apicitis is a rare but potentially life-threating complication of otitis media. During the preantibotic era it manifested with the classical triad of the Gradenigo syndrome which consists of otitis media, deep retro-orbital pain and abducens nerve palsy. Petrous apicitis continues to occur rarely and mostly with an atypicial presentation. With the recent advances in the imaging and widespread of antibiotics the conservative management is prefered to the traditional surgical treatment. We present a case of a 51-year-old man who complained of a sudden hearing loss and was subsequently diagnosed via MRI with petrous apicitis. He was treated successfully with a conservative therapy.