Two Cases of Ramsay Hunt Syndrome Complicated with Multiple Cranial Nerve Palsy and Aseptic Meningitis.
- Author:
Jong Bin KIM
1
;
Jae Yong BYUN
;
Sung Wan KIM
;
Chang Il CHA
Author Information
1. Department of Otolaryngology, College of Medicine, Kyung-Hee University, Seoul, Korea. khuent@khmc.or.kr
- Publication Type:Case Report
- Keywords:
Ramsay Hunt auricular syndrome;
Cranial nerve palsy;
Meningitis
- MeSH:
Adult;
Cranial Nerve Diseases*;
Cranial Nerves*;
Ear Canal;
Earache;
Facial Paralysis;
Female;
Hearing Loss, Sensorineural;
Herpes Zoster;
Herpes Zoster Oticus*;
Humans;
Male;
Meningitis;
Meningitis, Aseptic*;
Middle Aged;
Oculomotor Nerve;
Paralysis;
Tinnitus;
Vertigo;
Vestibulocochlear Nerve
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2005;48(3):398-401
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Herpes zoster oticus or Ramsay Hunt syndrome occurs in about one percent of all cases of herpes zoster and represents 12 percent of all facial palsies. The typical clinical presentation includes otalgia, facial palsy, herpetic lesions of the auricle and external auditory canal, but is frequently accompanied with sensorineural hearing loss, vertigo and tinnitus. Rarely, it may be associated with the involvement of V, VI, IX, X, XI and XII cranial nerves, aseptic meningitis, and the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). With a review of literature, we report two cases. The first case is a 64-year-old male with Ramsay Hunt syndrome complicated with cranial nerve VIII palsy and aseptic meningitis. The second case is a 30-year-old female with Ramsay Hunt syndrome complicated with the cranial nerve III, IV, V, VI and VIII palsies and aseptic meningitis.
