Ramsay-Hunt Syndrome presenting laryngeal paralysis

Gómez-Torres, Antonio; Vallejo, Antonio Medinilla; Jiménez, Antonio Abrante; Ortega, Francisco

doi:10.1016/j.otoeng.2013.02.003

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…These same three cases also did not explicitly state whether each patient experienced otalgia. Our case is particularly rare because the patient lacked the symptoms of otalgia or hearing loss, when in fact 20/23 cases in the literature review demonstrated both hearing loss and otalgia [2][3][4][5][6][7][8][9][10][11][12]. Unique to our case is also the fact that it was complicated by a concomitant infarction of the splenium corpus callosum and a meningioma.…”

Section: Discussionmentioning

confidence: 88%

A Rare Case of Vocal Cord Paralysis in the Setting of Ramsay Hunt Syndrome

Gillette¹,

Heilbronn²

2023

Cureus

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Ramsay Hunt syndrome (RHS) with concomitant vocal cord paralysis (VCP) is a rare finding. This case is particularly rare because the patient lacked the symptoms of otalgia or hearing loss when in fact, a majority of cases typically demonstrate both hearing loss and otalgia. Unique to this case is also the fact that it was complicated by a concomitant infarction of the splenium corpus callosum and a right temporal meningioma. The purpose of this study was to bring awareness to the fact that RHS can cause multiple cranial nerve neuropathies including VCP and should be included in the differential diagnosis for VCP.

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Section: Discussionmentioning

confidence: 88%

A Rare Case of Vocal Cord Paralysis in the Setting of Ramsay Hunt Syndrome

Gillette¹,

Heilbronn²

2023

Cureus

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“…Acute infection or VZV reactivation affects predominantly older individuals and/or immunocompromised patients [1][2][3]. CNS infection with VZV in young healthy adults is rare and is unexpected and only very few cases have been described so far [5][6][7]. Here, we describe 3 cases of previously healthy young men with VZV meningitis who had only minimal symptoms.…”

Section: Introductionmentioning

confidence: 88%

“…VZV infection of the central nervous system (CNS) such as encephalitis, meningitis, myelitis, or angiitis occurs less frequently but is feared because of the numerous unfavourable outcomes [1,3,4]. Usually CNS infection with VZV comes along with dermal affection but can rarely develop without rash [1,3,5]. Acute infection or VZV reactivation affects predominantly older individuals and/or immunocompromised patients [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Varicella Zoster Virus Aseptic Meningitis: A Misleading Clinical and Laboratory Presentation: Three Cases Reports

Khedr

2022

OAJNN

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Background: A septic meningitis caused by varicella zoster virus (VZV) reactivation was less described in the literature, Varicella-zoster virus is a neurotropic virus that remain dormant in dorsal root ganglion after primary infection, usually manifested as chickenpox which gets reactivated in immunocompromized state presented usually with vesicular rash complicated with multi-organ affection such as central nervous system. Rarely this characteristic skin rash can be absent initially requiring high clinical suspicion for diagnosis. When no skin lesions are present, a high clinical suspicion is required to reach the diagnosis. In this report we described three clinical of varicella- zoster virus reactivation presented in atypical way in terms of clinical presentation and cerebrospinal fluid analysis. Case presentation: Three patients otherwise healthy were admitted to the hospital with a chief complaint of headache, nausea, vomiting and symptoms suggestive of increased intracranial pressure (IIH). Resembling IIH but due to acute presentation and positive meningeal signs this was unlikely. The clinical examination did not show any neurological deficits or rash except lately in the first case. Lumbar puncture unexpectedly showed high opening pressure with markedly elevated CSF total and high total cell count with lymphocytic predominance which was misleading raising suspicion of tuberculous meningitis. Further CSF analysis, including polymerase chain reaction (PCR) and detection of intrathecal synthesis of antibodies, showed a VZV infection. Clinical follow-up examinations later on proved successful antiviral treatment.

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“…Herpes zoster of the head and neck commonly presents with Ramsay Hunt syndrome (RHS). [1][2][3] However, vesicular eruptions may occur on the pharyngeal or laryngeal area with multiple lower cranial-nerve (CN) palsy, [1][2][3][4][5][6][7][8][9][10] meningoencephalitis, and vasculopathy. We herein report a case of RHS with vesicles in the pharynx and larynx, complicated by multiple lower CN palsy and persistent hiccups in an immunocompetent patient.…”

Section: Introductionmentioning

confidence: 99%

Zoster Laryngitis with Multiple Cranial Nerve Palsy Progressed as Ascending Involvement

Hwang¹,

Jeong²

2018

J Neurocrit Care

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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.

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Ramsay-Hunt Syndrome presenting laryngeal paralysis

Cited by 8 publications

References 10 publications

A Rare Case of Vocal Cord Paralysis in the Setting of Ramsay Hunt Syndrome

A Rare Case of Vocal Cord Paralysis in the Setting of Ramsay Hunt Syndrome

Varicella Zoster Virus Aseptic Meningitis: A Misleading Clinical and Laboratory Presentation: Three Cases Reports

Zoster Laryngitis with Multiple Cranial Nerve Palsy Progressed as Ascending Involvement

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