<prompt> Gradcnigos syndrome is characterized by aeConductive deafnessRetroorbital painEar dischargeDiplopia  <response>: Ans. a Conductive deafness. Ref. PL Dhingra, ENT, 2nd ed., 78GRADENIGOS SYNDROME Petrositis, a complication of otitis media classically presents with a triad of symptoms, known as Gradenigos syndrome characterized by:- Abducent nerve lateral rectus palsy.- Deep seated ear or retro-orbital pain Vth nerve involvement- Persistent ear discharge However, fever, headache, vomiting sometimes neck stiffness occurs. Townes Stenvers StockholmC view for petrous apex and internal auditory meatus point towards diagnosis whileHRCT of temporal bone is confirmatory gives greater anatomical details. CTT1 MRIT2MRICEMRIAcute petrous apecitis with osteomyelitis Gradenigo syndromeOpacified air cells with bony breakdown; nonexpansileLowHighrim enhancement or enhancement of adjacent meninges Rx these days is antibiotic therapy alone, but sometimes mastoidectomy may be required. 