BMJ Case Reports 2012; doi:10.1136/bcr.08.2011.4723
  • Unusual presentation of more common disease/injury

Embryonic rhabdomyosarcoma presenting as Gradenigo’s syndrome

  1. Lance Hollis2
  1. 1ENT Department, Southmead Hospital, North Bristol NHS Trust, UK
  2. 2ENT Department, Worcester Royal Hospital, Worcestershire Acute Hospitals NHS Trust, Worcester, UK
  1. Correspondence to Mr Rupert George Ricks, rupert.ricks{at}


The authors report a previously undocumented case of parapharyngeal rhabdomyosarcoma presenting as Gradenigo’s syndrome and review the history and aetiology of Gradenigo’s syndrome. With sensitive diagnostic acumen this rare cause of Gradenigo’s like syndrome was identified and correct treatment initiated.


  • Competing interests None.

  • Patient consent Obtained.

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