Gradenigo Syndrome as the Form of Presentation of Nasopharyngeal

Nasopharyngeal carcinoma is rare in many parts of the world, but is prevalent among Southeast Asians. Usual presenting symptoms include recurrent epistaxis, otitis media and headache. Nasopharyngeal carcinoma may also mimic Gradenigo syndrome, which consists of otitis media, facial pain in the regions innervated by the first and second divisions of trigeminal nerve and abducens nerve paralysis. In this report, we present a case which was initially diagnosed as gradenigo syndrome but turned out to be an invasive nasopharyngeal carcinoma.