Early Diagnosis of Aseptic Meningitis in Ramsay Hunt Syndrome on 10-Minute Delayed CE 3D FLAIR Image: a Case Report

2021 ◽  
Vol 25 (3) ◽  
pp. 197
Author(s):  
Mi Hyun Kang ◽  
Da Mi Kim ◽  
In Ho Lee ◽  
Chang June Song
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Aseptic Meningitis ◽  
Flair Image ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
3D Flair

scholarly journals Ramsay Hunt syndrome affecting the vagus nerve with epiglottic ulcers as the first manifestation: a case report

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095227
Author(s):  
Jie Zhang ◽  
Xuemei Wei
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Vagus Nerve ◽  
Facial Paralysis ◽  
Alcohol Intoxication ◽  
Peripheral Facial Paralysis ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
Face Pain ◽  
The Right

Ramsay Hunt syndrome involving the vagus nerve is very rare. We herein describe a 53-year-old man who developed severe pharyngeal pain after alcohol intoxication. Antibiotic treatment was ineffective. Laryngoscopy showed an ulcer on the right side of the epiglottis. As the condition progressed, the patient developed hoarseness. He then gradually developed multiple herpes lesions on the right side of the head, face, and neck along with right peripheral facial paralysis. Corticosteroid, analgesic, antiviral, and nutritional nerve therapy resulted in disappearance of the herpes lesions, epiglottis ulcer, pharyngeal pain, and right head and face pain. The facial paralysis slightly improved, but the hoarseness did not improve. The patient was discharged with an unsatisfactory outcome, and he attempted treatment with acupuncture. After 6 months, the right facial paralysis and hoarseness disappeared. Our case emphasizes the importance of early diagnosis and treatment of atypical Ramsay Hunt syndrome as well as timely communication, enhancement of trust, and reduction of disputes between doctors and patients.

scholarly journals Ramsay Hunt Syndrome with Perineural Involvement: Clinical Case Report

2014 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Ana Scoralick ◽  
Daniel Azevedo ◽  
Daniella Mendes ◽  
Felipe Figueiredo ◽  
Luiz Moraes ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome

A case report of Ramsay Hunt syndrome in a patient with HIV treated by dual-wavelength photodynamic therapy

2019 ◽  
Vol 28 ◽  
pp. 282-285 ◽  
Author(s):  
M.A. Shakhova ◽  
D.A. Sapunov ◽  
Yu.D. Avdonina ◽  
I.S. Avdonin ◽  
A.V. Shakhov ◽  
...  
Keyword(s):  
Photodynamic Therapy ◽  
Case Report ◽  
Dual Wavelength ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome

scholarly journals Ramsay Hunt Syndrome associated with central nervous system involvement in an adult: a case report

2015 ◽  
Vol 42 (S1) ◽  
pp. S29-S30
Author(s):  
L Chan ◽  
A Cartagena ◽  
SM Hosseini ◽  
A Bombassaro
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Varicella Zoster Virus ◽  
External Auditory Canal ◽  
Facial Palsy ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome ◽  
The Central Nervous System

Background: Ramsay Hunt Syndrome with cerebellar encephalitis is rare in adult. Case Report: We describe a 55-year-old diabetic female who presented with truncal ataxia, right peripheral facial palsy and right ear pain associated with erythematous vesicular lesions in her external auditory canal. Later, she developed dysmetria, fluctuating diplopia and dysarthria. No facial lesions were identified and lesions were limited to the external auditory canal. Cerebral spinal fluid tested positive for varicella zoster virus polymerase chain reaction. She was diagnosed with Ramsay Hunt Syndrome with spread to the central nervous system and treated with acyclovir intravenous therapy (10 mg/kg every 8 hours). Her facial palsy completely resolved within 48 hours of acyclovir treatment, however, vesicular lesions, imbalance and cerebellar symptoms remained; a tapering course of high dose prednisone was then added.Discussion: Prognosis for facial palsy is poor in Ramsay Hunt Syndrome: Only 10% of patients will have complete resolution of their facial palsy. Improvement of facial palsy may be a good marker for response to treatment. Conclusion: Varicella zoster virus reactivation affecting the central nervous system in adults is rare. Knowledge of Ramsay Hunt syndrome with brainstem and/or cerebellar involvement is important for diagnosis and for consideration of antiviral and prednisone treatment.

scholarly journals A Rare Case of Cranial Polyneuritis as Complication of Ramsay Hunt Syndrome

2019 ◽  
Vol 11 (4) ◽  
pp. 133-136
Author(s):  
Jonathan Kurnia Wijaya ◽  
Hendra Wijaya Wong
Keyword(s):  
Case Report ◽  
Facial Paralysis ◽  
Rare Complication ◽  
Severe Disease ◽  
Varicella Zoster ◽  
Ramsay Hunt Syndrome ◽  
Delayed Treatment ◽  
Hunt Syndrome ◽  
Classic Triad ◽  
Initial Symptoms

AbstractRamsay Hunt Sydnrome is a rare and severe disease caused by the reactivation of varicella zoster virus (VZV) in the ganglia geniculate. The classic triad of this disease includes ear pain (otalgia), vesicles in the auditory canal, and facial paralysis. This case report is about a 37-year-old woman that has the classic triad of Ramsay Hunt Syndrome, as well as a rare complication of cranial polyneuritis in the form of cephalgia and vertigo which occurs only in 1.8% of cases. The patient came one week after the initial symptoms had started and was given antiviral combination therapy and steroids. Treatment of this disease is time sensitive to <72 hours and will determine the prognosis. One month later the follow up showed sequelae in the form of persistent headache and slight facial paralysis as a result of delayed treatment. This case report showed the importance of prompt diagnosis and treatment to minimize complications of Ramsay Hunt Syndrome.

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