A Case of Ramsay Hunt Syndrome with Multicranial Nerve Palsy

Jin-Sung Park; Dong-Ho Choi; Ho-Won Lee

doi:10.14253/kjcn.2013.15.2.71

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Park, Choi, and Lee: A Case of Ramsay Hunt Syndrome with Multicranial Nerve Palsy

Brief Communication

Korean J Community Nutr 2013;15(2):71-73.

Published online: 19 January 2013

DOI: https://doi.org/10.14253/kjcn.2013.15.2.71

A Case of Ramsay Hunt Syndrome with Multicranial Nerve Palsy

Jin-Sung Park¹, Dong-Ho Choi¹, Ho-Won Lee^1,²

¹Department of Neurology, Kyungpook National University School of Medicine, Daegu, Korea

²Brain Science and Engineering Institute, Kyungpook National University, Daegu, Korea

Address for correspondence; Ho-Won Lee Department of Neurology, Kyungpook School of Medicine, Brain Science and Engineering Institute, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu 700‐842, Korea Tel: +82-53-420-5756 Fax: +82-53-422-4265 E-mail: neuromd@knu.ac.kr

Received 19 June 201312 August 2013 Accepted 13 December 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keywords: Ramsay Hunt syndrome, Varicella zoster, Multi-cranial nerve palsy

REFERENCES

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2.Morelli N., Mancuso M., Cafforio G., Gallerini S., Pittiglio L., Tonelli S, et al. Ramsay-Hunt syndrome complicated by unilateral multiple cranial nerve palsies. Neurol Sci. 2008. 29:497–498.

3.Tanaka S.., Mizukami S. Vagal communicating branches between the facial and glossopharyngeal nerves, with references to their occurrence from the embryological point of view. Acta Anat (Basel). 1991. 142:25–32.

4.Kleinschmidt-DeMasters BK., Amlie-Lefond C., Gilden DH. The patterns of varicella zoster virus encephalitis. Hum Pathol. 1996. 27:927–938.

5.Kim JH., Chung PW., Oh S., Hong SB., Chung CS., Jung CW, et al. Ramsay Hunt syndrome complicated by a brainstem lesion. J Clin Virol. 2007. 39:322–325.

6.Uscatequi T., Dorée C., Chamberlain IJ., Burton MJ. Antiviral therapy for Ramsay Hunt syndrome (herpes zoster oticus with facial palsy) in adults. Cochrane Database Syst Rev. 2008. 8:CD006851.

7.Murakami S., Hao N., Horiuchi J., Honda N., Gyo K., Yanagihara N. Treatment of Ramsay Hunt syndrome with acyclovir-prednisolone: significance of early diagnosis and treatment. Ann Neurol. 1997. 41:353–357.

Figure 1.

The patient shows a peripheral type left facial nerve palsy (A). The laryngoscopy demonstrates a prominent left vocal cord palsy in the patient (B). The residual foodstuffs are seen to remain in the piriform sinus and vallecular fossa in the videofluoroscopic swallowing study (VFSS) (C). The Brain magnetic resonance imaging shows an enhancement along the internal acoustic canal, vestibular organ and left facial nerve (D).

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