Ramsay hunt syndrome: case report

Ouhbi, Imane; Ouraini, Saloua; Kettani, Mounir; Hemmaoui, B.; Errami, N.; Zalagh, M.; Jahidi, Ali; Benariba, Fouad

doi:10.11604/pamj-cm.2020.3.109.24688

Cited by 2 publications

(4 citation statements)

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“…However, in some atypical cases, tzank smear, Magnetic Resonance Imaging (MRI), or Polymerase Chain Reaction (PCR) may be useful. 1,5 In this case, no supporting diagnostic examination was carried out as it adds no additional diagnostic and prognostic value.…”

Section: Discussionmentioning

confidence: 98%

“…1 Although studies suggested that elderly patients with a chronic disease have a poorer prognosis, in this present case, patients responded well to the treatment. 5 This probably because patient only presented mild facial paralysis and therapy was initiated before 72 hours of onset.…”

Section: Discussionmentioning

confidence: 99%

“…Due to close proximity between facial and vestibulocochlear nerve, various symptoms related to this nerve damage may occur such as vertigo, tinnitus, hearing loss, nausea, and vomiting. 5 Spontaneous remission of Ramsay Hunt Syndrome rarely occurs, with only 20% of patients recover completely without treatment. 3 Early and proper treatment has been shown to enhance recovery rate.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, early diagnosis and treatment should be given to all patient with Ramsay Hunt Syndrome to prevent permanent facial nerve weakness and other sequelae. 1,5 We reported a case of Ramsay Hunt Syndrome with incomplete paralysis of facial nerve and involvement of vestibulocochlear nerve.…”

Section: Introductionmentioning

confidence: 99%

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Ramsay Hunt Syndrome: A Case Report

Dwitasari¹,

Seputra²

2022

MNJ

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Ramsay Hunt Syndrome (RHS) is a rare disease caused by reactivation of latent Varicella Zoster Virus in the geniculate ganglion which lead to inflammation, edema, and compression of facial nerve. RHS may affect both immunocompetent and immunocompromised patient. Clinical manifestation of RHS include herpes zoster oticus that manifest as vesicular rash on auricular area or oral mucosa in combination with peripheral nerve palsy. We reported a 67-years-old female patient with herpetic vesicle on left side of face and ear accompanied with ipsilateral peripheral facial paralysis since 2 days before admission. Patient was treated with acyclovir for 5 days. Follow up examination showed satisfying clinical improvement with disappearance of vesicles and otalgia, as well as facial weakness improvement from House Brackmann grade III to grade II. Early recognition and treatment of Ramsay Hunt Syndrome is crucial as delay of treatment may lead to sequelae, including postherpetic neuralgia and permanent facial paralysis.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ramsay Hunt Syndrome: A Case Report

Dwitasari¹,

Seputra²

2022

MNJ

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Ramsay hunt syndrome: a case report

Amaravadi,

Parvathalu,

Ravinder

2024

Int J Sci Rep

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Ramsay hunt syndrome (RHS) is a neurological condition comprising of complications with varicella zoster virus (VZV) which results in inflammation of geniculate ganglion. In the days to weeks following zoster, various cranial nerve palsies can develop because the varicella-zoster virus is latent in the cranial nerve ganglia. The trigeminal and facial nerves were the most commonly affected by zoster, based on the cranial nerve involvement. Another common impacted nerve was the vestibulocochlear nerve. As VZV is exclusively human pathogen, research on VZV latency is limited to only human ganglia examination. This case report describes about Ramsay Hunt Syndrome induced or also called as Herpes Zoster Oticus caused by Varicella zoster virus. Diagnosis mainly involved laboratory investigations, patient history, treatment data and other relevant information co-related from various literature. A 46-year-old female patient was diagnosed Ramsay hunt syndrome on the basis of clinical findings as right facial palsy, blisters over right pinna, otalgia and right ear erythematous lesions. Patient also exhibited deviation of angle of mouth to left side and unable to close right eye. This was accompanied by elevated erythrocyte sedimentation rate (ESR) exhibiting acute inflammation. Hemoglobin was low and total leukocyte count was high. Following that, corticosteroids and antivirals were prescribed to assist her medical condition. Remission is slow for RHS, hence patient was also advised for rehabilitation therapy to improvise her lower motor neuron facial palsy. Recurrence is possible in long term so it is imperative to initiate early treatment within 72 hours as soon as the symptoms are observed for better patient care.

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Ramsay hunt syndrome: case report

Cited by 2 publications

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Ramsay Hunt Syndrome: A Case Report

Ramsay Hunt Syndrome: A Case Report

Ramsay hunt syndrome: a case report

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