Zoster Laryngitis with Multiple Cranial Nerve Palsy Progressed as Ascending Involvement
Journal of Neurocritical Care
;
(2): 43-46, 2018.
Article
in English
| WPRIM
| ID: wpr-765896
ABSTRACT
BACKGROUND:
Herpes zoster of the head and neck commonly presents with Ramsay Hunt syndrome. However, vesicular eruptions may occur on the pharyngeal or laryngeal area with multiple lower cranial-nerve (CN) palsy. CASE REPORT We report on the case of a 54-year-old man with herpes zoster of the pharynx and larynx with multiple CN palsy and persistent hiccups. He initially developed progressive dysphagia, hoarseness, and persistent hiccups (CN IX and X). After admission, Dizziness, hearing impairment, and peripheral facial palsy (CN VII and VIII) were complicated. The results of a polymerase chain reaction test of saliva and vesicular fluid from the ear and throat were strongly positive for varicella zoster virus. The progression of CN palsy was in an ascending sequence.CONCLUSION:
We suggest that the sequence of CN palsy may be either ascending or descending, depending on the initial site of involvement.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paralysis
/
Pharynx
/
Saliva
/
Deglutition Disorders
/
Hoarseness
/
Laryngitis
/
Polymerase Chain Reaction
/
Herpes Zoster Oticus
/
Herpesvirus 3, Human
/
Cranial Nerve Diseases
Limits:
Humans
Language:
English
Journal:
Journal of Neurocritical Care
Year:
2018
Type:
Article
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