Abstract
We reporta case of Garcin'ss yndromew hichw asp ossiblyc ausedb y secretoryo titism edia. A 55 year-oldw omanw, hof irst noticedti nnitush, earingl oss, a nd pain in herl eft ear wasd iagnoseads having secretoryo titism edia 8 monthsp riort o admission Four months later, palsyo f the Vth and VIIthn erves begant o appear. The palsy extended to the other cranial nerves, and at thet ime of admission, the cranial nerves from III to X werec ompletel pyaralyzed CAT and MRI revealed fluid accumulatio in the air cells of the left temporal bone, mucosal thickening of the epipharynx, and hypertrophic dura mater at the base of the skulle xtending from the left cavernous sinus to the left jugular foramen. The histological diagnosis of the biopsie dura mater was one of cranial pachymeningitis.Treatments with antibiotics were effective. Paralyses of the cranial nerves, with the exception of the VIIIth, disappeared completely within 3 months. It is reasonable to assume that a mildly toxic bacterial infection in the middle ear had extended into the dura matert hrough the internal auditory canal, spread in the anteroposterior direction, and resulted in Garcin's syndrome.
