scholarly journals Ramsay Hunt Syndrome: Viral Infection Coexisting with COVID-19

2021 ◽  
Author(s):  
Madhuri Mehta ◽  
Akanksha Jain ◽  
Navroz Mehta
Keyword(s):  
Bacterial Infections ◽  
Facial Nerve Palsy ◽  
Sudden Sensorineural Hearing Loss ◽  
Respiratory Compromise ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
Vesicular Rash ◽  
Cranial Neuropathies ◽  
Vestibular Symptoms ◽  
Symptoms And Signs

AbstractSevere acute respiratory syndrome coronavirus 2 presents with a multitude of different symptoms and signs, most described is respiratory compromise. Many viral and bacterial infections coexist with coronavirus disease 2019 (COVID-19). Many cranial neuropathies have also been reported, including facial nerve palsy and sudden sensorineural hearing loss individually. Ramsay Hunt Syndrome, which is conventionally described as acute peripheral facial neuropathy, associated with erythematous vesicular rash of pinna or external auditory canal can at times present with cochlear or vestibular symptoms along with it. We report the case of a 32-year-old male who presented with Ramsay Hunt syndrome with cochlear manifestation during his COVID-19 illness. Evaluation of the patient and further management have been described.

Herpes zoster-encefalitis: een diagnostische uitdaging bij de geriatrische patiënt

2022 ◽  
Author(s):  
L. Carmans ◽  
C. Van Dessel
Keyword(s):  
Herpes Zoster ◽  
Rare Complication ◽  
Diagnostic Process ◽  
Herpes Encephalitis ◽  
Diagnostic Challenge ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
Prevalent Disease ◽  
Vesicular Rash

Herpes zoster encephalitis: a diagnostic challenge in a geriatric patient Reactivation of the varicella zoster virus (VZV) is a prevalent disease and is - in addition to the typical vesicular rash - responsible for rare neurological conditions. Older people form a major group of concern, given the increasing risk of VZV reactivation at a higher age together with a higher risk of complications. Herpes zoster encephalitis is a rare but serious complication which often presents atypically, delaying the diagnostic process. In this article, the medical history of a patient with herpes encephalitis without the typical clinical and biochemical signs of infection is presented. This patient also suffered from Ramsay Hunt syndrome, another rare complication of VZV, characterized by vesicular rash in the ear and ipsilateral peripheral facial paralysis. Both diseases are briefly reviewed and the potential benefits of vaccination are discussed.

Approach to Facial Weakness

2021 ◽  
Vol 41 (06) ◽  
pp. 673-685
Author(s):  
Yujie Wang ◽  
Camilo Diaz Cruz ◽  
Barney J. Stern
Keyword(s):  
Facial Palsy ◽  
Treatment Options ◽  
Cranial Neuropathy ◽  
Facial Weakness ◽  
Ramsay Hunt Syndrome ◽  
Corneal Injury ◽  
Diagnostic Measures ◽  
Fluid Analysis ◽  
Hunt Syndrome ◽  
Cranial Neuropathies

AbstractFacial palsy is a common neurologic concern and is the most common cranial neuropathy. The facial nerve contains motor, parasympathetic, and special sensory functions. The most common form of facial palsy is idiopathic (Bell's palsy). A classic presentation requires no further diagnostic measures, and generally improves with a course of corticosteroid and antiviral therapy. If the presentation is atypical, or concerning features are present, additional studies such as brain imaging and cerebrospinal fluid analysis may be indicated. Many conditions may present with facial weakness, either in isolation or with other neurologic signs (e.g., multiple cranial neuropathies). The most important ones to recognize include infections (Ramsay-Hunt syndrome associated with herpes zoster oticus, Lyme neuroborreliosis, and complications of otitis media and mastoiditis), inflammatory (demyelination, sarcoidosis, Miller–Fisher variant of Guillain–Barré syndrome), and neoplastic. No matter the cause, individuals may be at risk for corneal injury, and, if so, should have appropriate eye protection. Synkinesis may be a bothersome residual phenomenon in some individuals, but it has a variety of treatment options including neuromuscular re-education and rehabilitation, botulinum toxin chemodenervation, and surgical intervention.

scholarly journals Ramsay Hunt syndrome with facial vesicular rash: a unique clinical presentation in a kidney transplant patient

2014 ◽  
Vol 8 (07) ◽  
pp. 923-924 ◽  
Author(s):  
Carlos Abaeté De los Santos ◽  
Ivan Carlos Ferreira Antonello ◽  
Vicente Sperb Antonello ◽  
Florência Barreiro
Keyword(s):  
Hearing Loss ◽  
Herpes Zoster ◽  
Kidney Transplant ◽  
Kidney Transplant Patient ◽  
Virus Reactivation ◽  
Ramsay Hunt Syndrome ◽  
Transplant Patients ◽  
Hunt Syndrome ◽  
Vesicular Rash ◽  
The Face

Ramsay Hunt Syndrome (RHS) is the result of herpes zoster virus reactivation producing hearing loss, pain and vesicles in the ear or mouth, along with ipsilateral facial palsy due to the 7th cranial nerve geniculate ganglion infectious involvement. This condition has not been previously described, particularly in transplant patients. A 38-year old man underwent kidney transplantation and two years later experienced an ache on the left side of the face and hearing loss in the ear, also exhibiting vesicular lesions and concomitant facial peripheral palsy. Acyclovir IV was initiated, and the prednisone dose was increased. The patient was discharged 15 days later, feeling better but still exhibiting dark spots on his face. At three months follow-up he was asymptomatic, showing notable palsy improvement. Until this case, herpes zoster facial lesions causing typical RHS have never been reported in literature, particularly in kidney transplant patients.

scholarly journals Ramsay hunt syndrome- expect the unexpected: A case report

2021 ◽  
Vol 7 (3) ◽  
pp. 172-175
Author(s):  
Poorva Saxena ◽  
G. V. Ramachandra Reddy ◽  
Hina Handa ◽  
Ajita Singh
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Neurological Diseases ◽  
Rare Complication ◽  
Varicella Zoster Virus Infection ◽  
Post Herpetic Neuralgia ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
Vesicular Rash

Herpes zoster represents a latent reactivation of the varicella zoster virus infection with a dermatomal pattern of eruption and complicated by post-herpetic neuralgia. Ramsay hunt syndrome is a rare complication of herpes zoster and it is not just a syndrome but it's rather an infectious disease. This syndrome is characterized by peripheral facial nerve palsy associated with an erythematous vesicular rash on the ear. It is characterized by unilateral pattern of facial involvement and presence of vesicles helps in early diagnosis and distinguish the syndrome with diseases mimicking other severe neurological diseases. This article reports a case of 56-year-old male patient who reported with a complaint of severe toothache, which serves as severe prodrome for reactivation of herpes zoster virus which later leads to Ramsay Hunt syndrome. This case report highlights about the management of herpes zoster and its complication and emphasizes on prevention of post herpetic neuralgia complication.

scholarly journals Bilateral facial palsy in an adult with chickenpox

2020 ◽  
Vol 6 (12) ◽  
pp. 2286
Author(s):  
Arthur Wong ◽  
Jeyanthi Kulasegarah
Keyword(s):  
Facial Nerve ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Clinical Signs ◽  
The Body ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
Nerve Recovery

<p class="abstract">Chickenpox is a result of primary infection with varicella zoster virus. Isolated facial nerve palsy as a complication is rare, and here we report an extraordinary case of bilateral facial nerve palsy following chickenpox in an adult. A 55-year-old male presented to the emergency department with a day’s history of facial weakness. He had recently contracted chickenpox with an onset 16 days prior. Physical examination noted crusted vesicles all over the body and a bilateral facial palsy. There were no clinical signs of meningitis or cerebrovascular accident. He was managed with a short course of oral aciclovir and prednisolone and recovered fully after a month. Presentations of facial nerve palsy in chickenpox are rare and should be differentiated from Ramsay Hunt syndrome. Prognosis is relatively good with the majority of known cases seeing complete facial nerve recovery within 6 months.  </p>

scholarly journals Facial paralysis due to Ramsay Hunt syndrome - A rare condition

2017 ◽  
Vol 63 (4) ◽  
pp. 301-302 ◽  
Author(s):  
Aline Lariessy Campos Paiva ◽  
João Luiz Vitorino Araujo ◽  
Vinicius Ricieri Ferraz ◽  
José Carlos Esteves Veiga
Keyword(s):  
Herpes Zoster ◽  
Facial Paralysis ◽  
Rare Complication ◽  
Rare Condition ◽  
Varicella Zoster Virus Infection ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
Condition Diagnosis ◽  
Symptoms And Signs

Summary Ramsay Hunt syndrome (or herpes zoster oticus) is a rare complication of herpes zoster in which reactivation of latent varicella zoster virus infection in the geniculate ganglion occurs. Usually, there are auricular vesicles and symptoms and signs such otalgia and peripheral facial paralysis. In addition, rarely, a rash around the mouth can be seen. Immunodeficient patients are more susceptible to this condition. Diagnosis is essentially based on symptoms. We report the case of a diabetic female patient who sought the emergency department with a complaint of this rare entity.

A Case of Ramsay Hunt Syndrome without Facial Nerve Palsy (Haymann Type IV)

2018 ◽  
Vol 111 (1) ◽  
pp. 23-28
Author(s):  
Sayuri Yamamoto ◽  
Hideaki Kouzaki ◽  
Takeshi Shimizu
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Ramsay Hunt Syndrome ◽  
Type Iv ◽  
Hunt Syndrome
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