Herpes Zoster oticus with multiple cranial nerves involvement: A case series

doi:10.4328/acam.20369

A Case of Herpes Zoster Oticus Involving Multiple Cranial Nerves without Facial Palsy

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2014.57.11.795 ◽

2014 ◽

Vol 57 (11) ◽

pp. 795

Author(s):

Seung Hak Baek ◽

Yong Ju Lee ◽

Se Won Jeong ◽

Hyun Seung Choi

Keyword(s):

Herpes Zoster ◽

Facial Palsy ◽

Cranial Nerves ◽

Herpes Zoster Oticus

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Visualizing Affected Nerve Bundles of Cranial Nerves VII and VIII in Herpes Zoster Oticus

Otology & Neurotology ◽

10.1097/mao.0000000000002740 ◽

2020 ◽

Vol 41 (9) ◽

pp. e1174-e1176

Author(s):

Yen-Hui Lee ◽

Yi-Ho Young ◽

Yi-Tsen Lin

Keyword(s):

Herpes Zoster ◽

Cranial Nerves ◽

Herpes Zoster Oticus ◽

Nerve Bundles

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Test Battery of Cranial Nerves VII and VIII for Assessing Herpes Zoster Oticus

Otolaryngology ◽

10.1177/0194599814557614 ◽

2014 ◽

Vol 152 (1) ◽

pp. 143-148 ◽

Cited By ~ 1

Author(s):

Yun-Chen Huang ◽

Shou-Jen Wang ◽

Yi-Ho Young

Keyword(s):

Herpes Zoster ◽

Cranial Nerves ◽

Test Battery ◽

Herpes Zoster Oticus

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A case with Herpes Zoster Oticus involving multipl cranial nerves

Turk Otolarengoloji Arsivi/Turkish Archives of Otolaryngology ◽

10.5152/tao.2012.16 ◽

2013 ◽

Vol 50 (3) ◽

pp. 54-56

Author(s):

Alper Yenigun ◽

M. Fatih Evcimik ◽

H. Deniz Tansuker ◽

O. Faruk Calim

Keyword(s):

Herpes Zoster ◽

Cranial Nerves ◽

Herpes Zoster Oticus

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Unilateral Cranial Polyneuropathy in Herpes Zoster Oticus: Infection teaching us Anatomy

Nepal Journal of Neuroscience ◽

10.3126/njn.v17i3.33129 ◽

2020 ◽

Vol 17 (3) ◽

pp. 59-62

Author(s):

Abdul Qavi ◽

Ashutosh Tiwari ◽

Pradeep Kumar Maurya ◽

Ajai Kumar Singh ◽

Pradeep Kumar

Keyword(s):

Herpes Zoster ◽

Cranial Nerve ◽

Nerve Palsy ◽

Herpes Virus ◽

Case Reports ◽

Cranial Nerves ◽

Interesting Case ◽

Herpetic Infection ◽

Herpes Zoster Oticus ◽

Herpès Virus

Herpes zoster oticus or Ramsay Hunt syndrome is an uncommon neurological manifestation of herpes virus infection causing external ear rash with otalgia and facial nerve palsy. Rarely herpetic infection may present with multiple cranial nerves palsies involving VII, VIII, IX and X cranial nerves. Here we report a case of herpes zoster oticus with multiple cranial nerve palsy. This case study will help in understanding the dermatomal distribution of cranial nerves with cranial polyneuropathy due to reactivation of neurotropic herpes virus. Some interesting case reports regarding different cranial nerve involvement in herpetic infection are discussed in the table which helps in understanding the neurotropism of herpes virus.

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Varicella Zoster Virus-Associated Meningitis as a Rebound Varicella Zoster Disease after Antiviral Discontinuation

Case Reports in Dermatology ◽

10.1159/000512710 ◽

2021 ◽

pp. 148-153

Author(s):

Tetsuko Sato ◽

Takenobu Yamamoto ◽

Yumi Aoyama

Keyword(s):

Herpes Zoster ◽

Early Diagnosis ◽

Varicella Zoster Virus ◽

Immunosuppressive Therapy ◽

Unusual Case ◽

Cranial Nerves ◽

Skin Lesions ◽

Immunocompromised Patients ◽

Aggressive Treatment ◽

Varicella Zoster

Varicella zoster virus (VZV)-associated meningitis is usually progressive and can be fatal, and early diagnosis and aggressive treatment with intravenous antivirals such as acyclovir (ACV) are required in immunocompromised patients. Patients receiving corticosteroids and immunosuppressive therapy have a significantly higher risk of VZV-associated meningitis. In this report, we describe an unusual case of herpes zoster (HZ) in a young woman who was first diagnosed during tapering of prednisone for dermatomyositis. The skin lesions affected the left L2 and L3 dermatomes, which is unusual in VZV-associated meningitis. Despite showing a good rapid response to antivirals, she developed VZV-associated meningitis immediately after discontinuation of ACV. This phenomenon is often called rebound VZV reactivation disease and occurs after discontinuation of antivirals. This case was notable in that the affected dermatomes were distant from the cranial nerves. Thus, progression of HZ to VZV reactivation-associated meningitis can occur even in appropriately treated HZ patients. Continuation of antivirals beyond 1 week in patients on immunosuppressive therapy may be associated with a decreased risk of severe rebound VZV disease, such as VZV-associated meningitis.

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