Atypical Gradenigo Syndrome in an Elderly Man Resolved with Mastoidectomy and Petrous Apicectomy

Gradenigo syndrome (GS) was described primarily in the paediatric population, especially pre-antibiotic era. GS is rarely reported elderly post-antibiotic We present rare case of a 67-year-old man who presented with an incomplete triad symptoms (without abducens nerve palsy) that failed medical therapy and successfully treated surgical intervention (mastoidectomy petrous apicectomy). Physicians should be familiar atypical presenting as it can lead to life-threatening complications, elderly. cases resistant may require prompt appropriate imaging studies intervention.