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KMID : 0378019700130120143
New Medical Journal
1970 Volume.13 No. 12 p.143 ~ p.146
A Case of Gradenigo¢¥s Syndrome due to Internal Carotid Artery Aneurysm



Abstract
A 62-year-old female patient was admitted to Catholic Medical Center on Sept-15-1969, because of left hearing loss, paresthesia on the left face and diplopia.
These symptoms had been progressive for about 2 years.
Neurological examination revealed loss of corneal reflex, loss of pain and temperature sense at the distribution of the first and second branch of left trigeminal nerve and limitation of lateral gaze of the left eye ball.
Left carotid angiogram showed a large round aneurysmal dilatation of the infraclinoid cavernous potion of the left internal carotid artery.
Following identification of adequate circle of Willis and good cross filling in angiogram the left common carotid artery was ligated.
Post-operatively the patient has shown improvement of the symptoms.
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