Ramsay hunt syndrome: A diagnostic challenge for general dental practitioners

Singh, Gautham; Subhalakshmi, V; Balasubramanian, S; Patidar, Madhvika; Ealla, Kranti Kiran Reddy

doi:10.4103/ccd.ccd_1099_16

Cited by 7 publications

(1 citation statement)

References 12 publications

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“…Typically, the diagnosis of RHS is entirely clinical; however, in some cases, laboratory confirmation is based on increasing antibody titer in repeated complement fixation tests. Polymerase chain reaction can detect VZV in saliva, tears, middle ear fluid, and blood mononuclear cells [14]. In this case, clinical judgment was solely relied upon due to the evident and clinically typical RHS presentation, which precluded the use of sensitive but expensive tests.…”

Section: Discussionmentioning

confidence: 99%

Homeopathic Treatment of Ramsay Hunt Syndrome: A Case Report

Bhakta,

Dutta

2023

Complement Med Res

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Introduction: Ramsay Hunt syndrome (RHS) is an uncommon neurological complication resulting from the reactivation of latent herpes zoster virus. The condition often presents with facial paralysis, palatal ulcers, dysphagia, and altered taste sensation, leading to reduced quality of life. Standard therapeutic options for RHS have limitations, prompting the exploration of alternative treatments with improved prognostic outcomes. This case report aims to present a noteworthy clinical observation of RHS managed with individualized homeopathic treatment, emphasizing its potential therapeutic effect. Case Description: A 24-year-old female patient exhibited left-sided facial weakness, along with palatal ulcers, dysphagia, and ageusia, prompting the diagnosis of RHS. Following the principles of homeopathy, a personalized therapeutic regimen was formulated, consisting tailored administration of Rhus toxicodendron, Spigelia anthelmia, and Sulfur. The House-Brackmann scale was employed to objectively assess the severity of facial palsy, while photographic documentation tracked the progression of palatal ulcers and facial paralysis. Over a carefully monitored observation period of 14 days, the patient demonstrated notable therapeutic response. There was a significant reduction in the extent of palatal ulceration and left-sided facial palsy exhibited marked improvement. Subsequent days of follow-up witnessed a consistent amelioration of the patient’s condition, substantiating the effect of the individualized homeopathic treatment. Conclusion: This case report highlights an exceptional instance of RHS recovery within a relatively short timeframe, achieved through the administration of individualized homeopathic therapy. The favorable outcomes observed in this case underscore the potential of homeopathy as a promising intervention for RHS management. Nevertheless, further systematic investigations are imperative to comprehensively evaluate the scope and applicability of homeopathy in the treatment of RHS.

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Section: Discussionmentioning

confidence: 99%

Homeopathic Treatment of Ramsay Hunt Syndrome: A Case Report

Bhakta,

Dutta

2023

Complement Med Res

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Comparison of the efficacy of various doses of steroids for acute facial palsy

Nam

Han

Jeong

et al. 2019

Acta Oto-Laryngologica

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Trigeminal herpes zoster and Ramsay Hunt syndrome in an elderly adult: Presentation with prodromal toothache

et al. 2018

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Objective This article describes an atypical herpes zoster (HZ) infection heralded by prodromic dental pain. Background Trigeminal HZ is associated with any of the three divisions of the trigeminal nerve, and Ramsay Hunt syndrome is a rare variant of HZ infection of the ear, often accompanied with unilateral facial nerve palsy. Materials and methods An 87‐year‐old man sought remedy for tooth‐like pain. Within a week, he developed cutaneous, intraoral and otic eruptions, hearing loss, and mild facial palsy. Results After ruling out odontogenic pain, he was diagnosed with trigeminal HZ and Ramsay Hunt syndrome. Conclusion Herpes zoster infection should be included as a possible aetiologic factor with atypical presentations of odontogenic pain. Diagnosis of trigeminal HZ infection and the Ramsay Hunt syndrome may lead to timely intervention with antivirals and improved patient outcomes.

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Ramsay hunt syndrome: A diagnostic challenge for general dental practitioners

Cited by 7 publications

References 12 publications

Homeopathic Treatment of Ramsay Hunt Syndrome: A Case Report

Homeopathic Treatment of Ramsay Hunt Syndrome: A Case Report

Comparison of the efficacy of various doses of steroids for acute facial palsy

Trigeminal herpes zoster and Ramsay Hunt syndrome in an elderly adult: Presentation with prodromal toothache

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