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.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Encéfalo
/
Aciclovir
/
Transtornos de Deglutição
/
Seguimentos
/
Herpesvirus Humano 3
/
Doenças dos Nervos Cranianos
/
Nervos Cranianos
/
Diplopia
/
Exsudatos e Transudatos
/
Nervo Facial
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Idoso
/
Aged80
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Balance Society
Ano de publicação:
2013
Tipo de documento:
Artigo
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