- Visibility 73 Views
- Downloads 58 Downloads
- Permissions
- DOI 10.18231/j.ijoas.11596.1767440353
-
CrossMark
Challenging the norm- unmasking ramsay hunt syndrome: A case without classic otologic features
- Author Details:
-
Kishen Khanna *
-
Vijaya Sundaram
-
Aparna Das
-
Harini Priya
Kishen Khanna *
Ramsay Hunt syndrome is a peripheral facial nerve palsy which is accompanied by erythematous vesicular rash on the ear (Zoster Oticus) or in the mouth. Another common symptom of this syndrome is persistent and excruciating ear ache that usually precedes the facial nerve palsy. Other symptoms include tinnitus, vertigo and sensorineural hearing loss. Hereby, reporting a case of 44year old non-diabetic, non-hypertensive female who presented with pain and swelling in the left parotid region followed by left facial nerve palsy, skin changes over the concha. There was improvement of facial nerve palsy, parotid swelling after 2 weeks of conservative management.
References
- Sweeney CJ, Gilden DH. Ramsay Hunt syndrome. J Neurol Neurosurg Psych. 2001;71(2):149–54. DOI: 10.1136/jnnp.71.2.149
[Google Scholar] - Ko JY, Sheen TS, Hsu MM. Herpes zoster oticus treated with acyclovir and prednisolone: clinical manifestations and analysis of prognostic factors. Clin Otolaryngol Allied Sci. 2000;25(2):139–42.
- 1046/j.1365-2273.2000.00336.x
- Wagner G, Klinge H, Sachse MM. Ramsay Hunt syndrome. J Dtsch Dermatol Ges J Ger Soc Dermatol JDDG. 2012;10(4):238–44. DOI: 10.1111/j.1610-0387.2012.07894.x
[Google Scholar] - Alc P, Jlv A, Vr F, Jce V. Facial paralysis due to Ramsay Hunt syndrome - A rare condition. Rev Assoc Medica Bras. 2024;63(4). Available from: https://pubmed.ncbi.nlm.nih.gov/28614529/
- Inagaki A, Minakata T, Katsumi S, Murakami S. Concurrent treatment with intratympanic dexamethasone improves facial nerve recovery in Ramsay Hunt syndrome. J Neurol Sci. 2020;410:116678. DOI: 10.1016/j.jns.2020.116678
[Google Scholar] - Hato N, Murakami S, Gyo K. Steroid and antiviral treatment for Bell’s palsy. The Lancet. 2008;371(9627):1818–20. DOI: 10.1016/S0140-6736(08)60776-X
[Google Scholar] - Paiva ALC, Araujo JLV, Ferraz VR, Veiga JCE. Facial paralysis due to Ramsay Hunt syndrome - A rare condition. Rev Assoc Médica Bras. 2017;63(4):301–2. DOI: 10.1590/1806-9282.63.04.301
[Google Scholar] - Murakami S, Hato N, Horiuchi J, Honda N, Gyo K, Yanagihara N. Treatment of ramsay hunt syndrome with acyclovir‐prednisone: Significance of early diagnosis and treatment. Ann Neurol. 1997;41(3):353–7. DOI: 10.1002/ana.410410310
[Google Scholar]