Atypical Gradenigo's Syndrome Showing Isolated Facial Pain

Gradenigo's syndrome consists of the triad of otitis media, mastoiditis, pain in the region innervated by the first and second divisions of the trigeminal nerve and ipsilateral abducens nerve palsy.1 In 1907, Gradenigo described a symptom complex consisting of abducens nerve palsy, severe pain in the distribution of the trigeminal nerve, and acute suppurative otitis media. In the antibiotic era, the incidence of Gradenigo's syndrome decreased markedly and only a few cases have been reported. Gradenigo's syndrome is often recognized late due to the subtlety of its signs and symptoms.2 We report a patient with unilateral facial pain. He was diagnosed as having atypical Gradenigo's syndrome on the basis of clinical and radiologic findings