Case Report

Gradenigo’s Syndrome and Bacterial Meningitis in a Patient with a Petrous Apex Cholesterol Granuloma

Figure 5

CT angiogram: the left carotid canal wall is dehiscent, and the ICA is narrowed (arrows), presumably due to vasospasm from adjacent inflammation. CTA is valuable to confirm that an expansile petrous apex lesion is not an ICA aneurysm.