A Case of Ramsay-Hunt Syndrome with Multiple Cranial Nerve Palsies Preceded by Diffuse Inflammatory Exudates in the Fluid Attenuated Inversion Recovery Image / 대한평형의학회지
Journal of the Korean Balance Society
;
: 127-131, 2013.
Article
in Korean
| WPRIM
| ID: wpr-761150
ABSTRACT
Ramsay-Hunt syndrome (RHS) is a well known disease caused by varicella-zoster virus infection in the geniculate ganglion of the facial nerve. Although the otic vesicle and facial palsy are easily recognized clinical signs of RHS, cases of associated multiple cranial nerve palsies present a difficult diagnostic challenge and furthermore, the mechanisms is unclear. We report a case of an 86-year-old man with otic crusted vesicles and peripheral typed facial palsy preceded by severe headache and fever. Several days later, he developed diplopia, dysphagia, hiccup and abdominal myoclonus. On fluid attenuated inversion recovery image of brain, diffuse subdural inflammatory exudates, which disappeared after treatment of acyclovir and corticosteroid, and ipsilateral facial nerve enhancement were observed in follow-up imaging.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Brain
/
Acyclovir
/
Deglutition Disorders
/
Follow-Up Studies
/
Herpesvirus 3, Human
/
Cranial Nerve Diseases
/
Cranial Nerves
/
Diplopia
/
Exudates and Transudates
/
Facial Nerve
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Aged80
/
Humans
Language:
Korean
Journal:
Journal of the Korean Balance Society
Year:
2013
Type:
Article
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