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Middle ear infection and sixth nerve palsy

Published online by Cambridge University Press:  29 June 2007

J. J. Homer ,
I. J. M. Johnson  and
N. S. Jones
J. J. Homer*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, Nottingham, UK.
I. J. M. Johnson
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, Nottingham, UK.
N. S. Jones
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, Nottingham, UK.
*
Address for correspondence: Mr J. J. Homer, F.R.C.S., 42 Flax House, Navigation Walk, Victoria Quays, Leeds LS10 1JH. Fax: 01484 482147
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Abstract

Three cases of patients with acute middle ear infections complicated by a sixth nerve palsy are described. The possible causes of sixth nerve palsy in such cases are discussed. We propose that where there is a sixth nerve palsy without petrositis and without raised intracranial pressure, it can arise as a result of spreading phlebitis along the inferior petrosal sinus from the lateral sinus.

Keywords

Abducens nerveMastoiditisOtitis Media, Gradenigo syndrome
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 9 , September 1996 , pp. 872 - 874
Copyright
Copyright © JLO (1984) Limited 1996

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