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An extreme and unusual variant of Ramsay Hunt syndrome

  • S. De (a1) and A. G. Pfleiderer (a1)

Abstract

Ramsay Hunt syndrome is characterized by facial nerve paralysis, herpetic vesicles in or around the ear and pain often associated with vestibulocochlear nerve involvement. It is thought to be a cranial polyneuropathy caused by the herpes zoster virus. We present an extreme and unusual variant of this disease with involvement of VIIth, VIIIth, Xth, XIth and XIIth cranial nerves as well as C2–4 sensory dermatomes and profound systemic upset which caused some diagnostic uncertainty.

Copyright

COPYRIGHT: © JLO (1984) Limited 1999

Corresponding author

Address for correspondence: A. G. Pfleiderer, Edith Cavell Hospital, Bretton Gate, Peterborough, PE3 9GZ

References

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Aviel, A., Marshak, G. (1982) Ramsay Hunt syndrome: A cranial polyneuropathy. American Journal of Otolaryngology 3: 61–66.
Bhattacharyya, P. C., Katati, S. (1993) Ramsay Hunt syndrome with aseptic meningitis. Journal of the Association of Physicians of India 41(2): 113–114.
Cicala, S., DiCiommo, V., Massini, R. (1977) Cephalic zoster with involvement of the 5th, 7th, 8th, 9th and 10th left cranial nerves. Minerva Medicine 68: 4253–4256.
Kagayama, Y., Nakamura, M., Sato, A., Sato, M., Nakayama, S., Komatsuzaki, O., Furuda, H. (1989) Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) associated with Ramsay Hunt syndrome: report of a case and review of the literature. Japanese Journal of Medicine 28(2): 219–222.
Murukami, S., Hato, N., Horiuchi, J., Honda, N., Gyo, K., Yanagihara, N. (1997) Treatment of Ramsay Hunt syndrome with acyclovir-prednisolone: significance of early diagnosis and treatment. Annals of Neurology 41(3): 353–357.
Robillard, R. B., Hilsinger, R. L. Jr., Ardour, K. K. (1986) Ramsay Hunt facial paralysis: clinical analyses of 185 patients. Otolaryngology – Head and Neck Surgery 95(3 Pt 1): 292–297.
Steffen, R., Selby, G. (1972) ‘Atypical’ Ramsay Hunt syndrome. Medical Journal of Australia 1: 227–230.
Tada, Y., Aoyagi, M., Tojima, H., Inamura, H., Saito, O., Maeyama, H., Kohsyu, H., Koike, Y. (1994) Gd DTPA enhanced MRI in Ramsay Hunt syndrome. Acta Oto-Laryngologica (Suppl 511): 170–174.
Wackym, P. A. (1997) Molecular temporal bone pathology II: Ramsay Hunt syndrome (herpes zoster oticus). Laryngoscope 107(9): 165–175.

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  • Cited by 10

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An extreme and unusual variant of Ramsay Hunt syndrome

  • S. De (a1) and A. G. Pfleiderer (a1)

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