Petrous apicitis

Case contributed by Frank Gaillard


Left-sided abducens palsy since last 1 week, pain, hearing loss, and tinnitus.

Patient Data

Age: 35 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.


A region of irregular lytic destruction in the left petrous apex.


On T1 weighted images, the left petrous apex is of intermediate to low signal intensity with peripheral irregular enhancement.

Case Discussion

Features are consistent with infection of the petrous apex (petrous apicitis) resulting in Gradenigo syndrome.

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