Gradenigo's syndrome consists of the following except ?

Ans. is 'd' i.e., Convulsions Infection of mastoid and middle ear may be complicated by the spread of infection within the temporal bone into petrous apex. Petrositis is an extension of infection from middle ear and mastoid to the petrous pa of the temporal bone. Gradenigo's syndrome is the classical presentation and consists of a triad of : - i) External rectus palsy (VIth nerve/abducent nerve palsy) causing diplopia. ii) Deep seated orbital or retroorbital pain (Vth nerve involvement). iii) Persistent ear discharge due to ipsilateral acute or chronic otitis media. Associated symptoms of otitis media are also present e.g., conductive deafness. Other symptoms are fever, headache, vomiting, and sometimes neck rigidity. Some patient may get facial paralysis and recurrent veigo due to involvement of facial and statoacoustic nerves.