Ramsay Hunt Syndrome With Severe Dysphagia

Cranial Polyneuropathy in Ramsay Hunt Syndrome Manifesting Severe Pharyngeal Dysphagia: a Case Report and Literature Review

“…The amplitude of motor action potentials in an NCS and the HBS scale are known as valuable methods for predicting the outcomes of facial palsy [6]. However, swallowing function was restored within a relatively short period, despite severe neural degradation according to the NCS in this case and in a case reported by Shim et al [7] Additionally, the initial severity of RHS-related dysphagia based on the results of a VFSS or a flexible endoscopic evaluation of swallowing (FEES) may not affect prognosis, as in this case and in previous reports [7][8][9][10], in contrast to stroke-related dysphagia. Therefore, electrodiagnostic studies and VDS scores representing the initial severity of dysphagia cannot be used to predict the prognosis of dysphagia in RHS.…”

“…Furthermore, we found that patients who received swallowing rehabilitation therapy recovered swallowing function more quickly compared to those who did not receive therapy. Oral feeding was possible within 2 months through swallowing rehabilitation, including the patient in this case, except for 2 cases in which the patients were more than 80 years old [7][8][9][10]. Elderly patients tend to exhibit greater loss of function, resulting in a difficult recovery [8], and severe cases appear to require a significant amount of time for recovery.…”

Herpetic cranial polyneuritis mimicking brain stem infarction—an atypical presentation of Ramsay Hunt syndrome

“…Common triggers for reactivation of latent VZV include emotional stress, physical trauma, smoking, recent viral infection and decreased cell-mediated immunity, either as a feature of advancing age or immunocompromised states 3. The severity and duration of symptoms is often greater in the elderly 4 5…”

Herpes Zoster Laryngitis Accompanied by Ramsay Hunt Syndrome

“…6 It has been reported that administration of acyclovir and prednisone was effective in the management of RHS. 5,9 Therefore, the treatment of choice for herpes zoster laryngitis accompanied by RHS is steroid and antiviral therapy. All cases with herpes zoster laryngitis accompanied by RHS (including ours) have been treated by steroid and antiviral therapy.…”