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Ramsay hunt syndrome

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https://www.readbyqxmd.com/read/28388396/acute-facial-nerve-palsy-with-ipsilateral-soft-palate-ulcers
#1
C Mauprivez, C Comte, M Labrousse, R H Khonsari
Ramsay-Hunt syndrome (RHS) is a rare complication of herpes zoster in which reactivation of latent varicella zoster virus (VZV) infection occurs in the geniculate ganglion. Major clinical findings are peripheral facial nerve palsy accompanied by ipsilateral ear pain and erythematous vesicular rash on the external ear (herpes zoster oticus) and in the mouth. Thus, diagnosis of RHS is usually clinical. However, auricular herpetic eruption is not always present, making diagnosis more difficult. This report describes a case of RHS with left facial palsy without skin lesions in 60-year-old woman...
March 14, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28246227/ramsay-hunt-syndrome
#2
Steven J Montague, A Ross Morton
No abstract text is available yet for this article.
February 27, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28221283/comparison-of-acyclovir-and-famciclovir-for-ramsay-hunt-syndrome
#3
Ho Joong Kim, Junyang Jung, Sung Su Kim, Jae Yong Byun, Moon Suh Park, Seung Geun Yeo
OBJECTIVE: Although antiviral agents are widely used to treat Ramsay hunt syndrome (RHS), their relative effectiveness has not been assessed. This study retrospectively compared clinical outcomes in patients with RHS treated with the antiviral agents acyclovir and famciclovir. PATIENTS AND METHODS: This study involved 227 patients diagnosed with RHS from 2003 to 2015. Patients were treated with prednisolone plus acyclovir (n = 102) or famciclovir (n = 125)...
February 17, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28173896/effects-of-a-sensory-branch-to-the-posterior-external-ear-canal-coughing-pain-ramsay-hunt-s-syndrome-and-hitselberger-s-sign
#4
S Mulazimoglu, R Flury, S Kapila, T Linder
BACKGROUND: A distinct nerve innervating the external auditory canal can often be identified in close relation to the facial nerve when gradually thinning the posterior canal wall. This nerve has been attributed to coughing during cerumen removal, neuralgic pain, Hitselberger's sign and vesicular eruptions described in Ramsay Hunt's syndrome. This study aimed to demonstrate the origin and clinical impact of this nerve. METHODS AND RESULTS: In patients with intractable otalgia or severe coughing whilst inserting a hearing aid, who responded temporarily to local anaesthesia, the symptoms could be resolved by sectioning a sensory branch to the posterior canal...
April 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28079835/prognostic-factors-of-bell-s-palsy-and-ramsay-hunt-syndrome
#5
Zhengyi Cai, Huijing Li, Xun Wang, Xiaoting Niu, Peiqi Ni, Wanli Zhang, Bei Shao
The aim of this study was to compare clinical characteristics, electroneurography (ENoG) results, and functional outcomes of patients with Bell's palsy (BP) and Ramsay Hunt syndrome (RHS).Around 57 patients with BP and 23 patients with RHS were enrolled in this study from January 2010 and September 2015. Both clinical characteristics and ENoG results were recorded at hospital admission. The evaluations of functional outcomes were conducted with House-Brackmann (H-B) grading system at 6-month follow-up.There were no significant differences in age, gender proportion, initial H-B grades, time before commencement of treatment and the presence of comorbid disease in 2 groups...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27939042/facial-palsy-after-dental-procedures-is-viral-reactivation-responsible
#6
Robert A Gaudin, Aaron K Remenschneider, Katie Phillips, Christian Knipfer, Ralf Smeets, Max Heiland, Tessa A Hadlock
OBJECTIVES: Herpes labialis viral reactivation has been reported following dental procedures, but the incidence, characteristics and outcomes of delayed peripheral facial nerve palsy following dental work is poorly understood. Herein we describe the unique features of delayed facial paresis following dental procedures. MATERIALS AND METHODS: An institutional retrospective review was performed to identify patients diagnosed with delayed facial nerve palsy within 30 days of dental manipulation...
January 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/27757380/concurrent-ramsay-hunt-syndrome-and-disseminated-herpes-zoster-in-a-patient-with-relapsed-chronic-lymphocytic-leukemia
#7
Ishita Chen, Raymond B Fohtung, Hanadi Ajam Oughli, Robert Bauer, Caline Mattar, William G Powderly, Mark S Thoelke
Ramsay Hunt Syndrome (RHS) is a rare complication of latent varicella-zoster virus (VZV) infection that can occur in immunocompetent host. It usually involves ipsilateral facial paralysis, ear pain and facial vesicles. Disseminated herpes zoster is another complication of VZV infection typically seen in immunocompromised hosts. We describe a patient with relapsed chronic lymphocytic leukemia (CLL) who presented simultaneously with RHS and disseminated herpes zoster. While other complications have been documented to coexist with RHS, to our knowledge, this is the first reported case in the literature of concurrent RHS with disseminated herpes zoster...
2016: IDCases
https://www.readbyqxmd.com/read/27746846/treatment-and-prognosis-of-facial-palsy-on-ramsay-hunt-syndrome-results-based-on-a-review-of-the-literature
#8
REVIEW
Rafael da Costa Monsanto, Aline Gomes Bittencourt, Natal José Bobato Neto, Silvia Carolina Almeida Beilke, Fabio Tadeu Moura Lorenzetti, Raquel Salomone
Introduction Ramsay Hunt syndrome is the second most common cause of facial palsy. Early and correct treatment should be performed to avoid complications, such as permanent facial nerve dysfunction. Objective The objective of this study is to review the prognosis of the facial palsy on Ramsay Hunt syndrome, considering the different treatments proposed in the literature. Data Synthesis We read the abstract of 78 studies; we selected 31 studies and read them in full. We selected 19 studies for appraisal...
October 2016: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/27643680/cerebrospinal-fluid-viral-load-and-biomarkers-of-neuronal-and-glial-cells-in-ramsay-hunt-syndrome
#9
Johan Lindström, Anna Grahn, Henrik Zetterberg, Marie Studahl
Reactivation of varicella zoster virus (VZV) can manifest with facial palsy diagnosed as Ramsay Hunt Syndrome (RHS) or Ramsay Hunt Syndrome zoster sine herpete (RHS-ZSH). These syndromes are associated with poor prognosis despite treatment with antivirals and corticosteroids. Concentrations of biomarkers such as neurofilament protein (NFL), S-100β protein and glial fibrillary acidic protein (GFAp) have previously been measured in cerebrospinal fluid (CSF) to assess neuronal damage and glial pathology. We employed immunochemical methods to measure concentrations of NFL, S-100β protein and GFAp in CSF from patients with RHS (n = 15) and RHS-ZSH (n = 13) diagnosed by detection of VZV DNA in the CSF by quantitative PCR, and compared with a control group (n = 52)...
December 2016: European Journal of Neuroscience
https://www.readbyqxmd.com/read/27504334/herpes-zoster-infection-involving-mandibular-division-of-trigeminal-nerve-and-ramsay-hunt-syndrome-with-meningitis-in-an-immunocompetent-patient-a-rare-association
#10
Vijayan Ganesan, Dhrubajyoti Bandyopadhyay, Suvrendu Sankar Kar, Cankatika Choudhury, Vivek Choudhary
Herpes zoster is a unilateral painful vesicular cutaneous eruption caused by the reactivation of the Varicella zoster virus. It commonly affects the older people and immunocompromised individuals. The dermatomes from T3 to L3 are most frequently involved. Its three stages include prodromal stage, active stage and chronic stage. The common complications of the infection include post-herpetic neuralgia, Ramsay Hunt syndrome, Guillain-Barre syndrome, transverse myelitis and encephalomyelitis. This case report summarizes a very rare association of herpes zoster meningitis with the involvement of mandibular division of the trigeminal nerve and facial nerve...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27497069/ramsay-hunt-syndrome
#11
N M Gupta, M P Parikh, S Panginikkod, V Gopalakrishnan
No abstract text is available yet for this article.
October 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27435969/vertigo-with-sudden-hearing-loss-audio-vestibular-characteristics
#12
Jacob M Pogson, Rachael L Taylor, Allison S Young, Leigh A McGarvie, Sean Flanagan, G Michael Halmagyi, Miriam S Welgampola
Acute vertigo with sudden sensorineural hearing loss (SSNHL) is a rare clinical emergency. Here, we report the audio-vestibular test profiles of 27 subjects who presented with these symptoms. The vestibular test battery consisted of a three-dimensional video head impulse test (vHIT) of semicircular canal function and recording ocular and cervical vestibular-evoked myogenic potentials (oVEMP, cVEMP) to test otolith dysfunction. Unlike vestibular neuritis, where the horizontal and anterior canals with utricular function are more frequently impaired, 74 % of subjects with vertigo and SSNHL demonstrated impairment of the posterior canal gain (0...
October 2016: Journal of Neurology
https://www.readbyqxmd.com/read/27366189/ramsay-hunt-syndrome-associated-with-central-nervous-system-involvement-in-an-adult
#13
Tommy L H Chan, Ana M Cartagena, Anne Marie Bombassaro, Seyed M Hosseini-Moghaddam
Ramsay Hunt syndrome associated with varicella zoster virus reactivation affecting the central nervous system is rare. We describe a 55-year-old diabetic female who presented with gait ataxia, right peripheral facial palsy, and painful vesicular lesions involving her right ear. Later, she developed dysmetria, fluctuating diplopia, and dysarthria. Varicella zoster virus was detected in the cerebrospinal fluid by polymerase chain reaction. She was diagnosed with Ramsay Hunt syndrome associated with spread to the central nervous system...
2016: Canadian Journal of Infectious Diseases & Medical Microbiology
https://www.readbyqxmd.com/read/27317379/varicella-zoster-virus-vzv-dna-in-serum-of-patients-with-vzv-central-nervous-system-infections
#14
Anna Grahn, Tomas Bergström, Jim Runesson, Marie Studahl
OBJECTIVES: Varicella-zoster virus (VZV) is a common viral agent causing central nervous system (CNS) infections, normally diagnosed by detection of VZV DNA in cerebrospinal fluid (CSF). Our aim was to investigate trends in VZV DNAemia in VZV CNS infections, which could potentially contribute to diagnosis and secondly, correlate the amount of VZV DNA in serum to severity of disease. METHODS: Seventy-two patients with VZV CNS infections diagnosed by detection of VZV DNA in CSF and concomitant neurological symptoms were included...
September 2016: Journal of Infection
https://www.readbyqxmd.com/read/27092925/magnetic-resonance-imaging-evidence-of-varicella-zoster-virus-polyneuropathy-involvement-of-the-glossopharyngeal-and-vagus-nerves-associated-with-ramsay-hunt-syndrome
#15
Hediye Pinar Gunbey, Gokhan Kutlar, Kerim Aslan, Asli Tanrivermis Sayit, Lutfi Incesu
The involvement of lower cranial nerve palsies is less frequent in Ramsay Hunt syndrome caused by varicella zoster virus (VZV). The authors report 1 of extremely rare patients of radiologically proven polyneuropathy of VZV infection with magnetic resonance imaging findings of VII, IX, and X cranial nerve involvement is a 62-year-old female patient, who initially presented with Ramsay Hunt syndrome. Varicella zoster virus infection should be considered even in patients who show unilateral palsy of the lower cranial nerves associated with laryngeal paralysis...
May 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26864575/ramsay-hunt-syndrome
#16
Martha R Neagu, Sashank Prasad
No abstract text is available yet for this article.
June 2016: Practical Neurology
https://www.readbyqxmd.com/read/26779429/a-case-of-ramsay-hunt-syndrome-diagnosed-after-kidney-transplantation
#17
Yoo Min Park, Da Rae Kim, Ji Yoon Park, Seul Ki Kim, Se Yun Kim, Jin Sug Kim, Yu Ho Lee, Yang-Gyun Kim, Kyung-Hwan Jeong, Ju-Young Moon, Sang-Ho Lee, Chun-Gyoo Ihm, Tae-Won Lee
We report the first case of Ramsay Hunt syndrome (RHS) diagnosed after kidney transplantation in Korea. RHS is a disease caused by latent varicella-zoster characterized to involve geniculate ganglion of the seventh cranial nerve. Patients who have undergone kidney transplantation can be easily affected by viral infections because of their immune-compromised status. A 35-year-old man with hypertensive end-stage renal disease underwent kidney transplantation. Two months after surgery, the recipient was diagnosed with RHS and treated with antivirals and steroids...
December 2015: Kidney Research and Clinical Practice
https://www.readbyqxmd.com/read/26568393/neurosyphilis-mimicking-ramsay-hunt-syndrome
#18
Tadashi Maeda, Sadako Yoshizawa, Takehisa Hirayama, Tomoo Saga, Kazuhiro Tateda, Yoshihisa Urita
A 36-year-old man presented with facial nerve palsy, hearing loss, vertigo and headache. He was initially diagnosed with Ramsay Hunt syndrome and treated with a systemic steroid and valaciclovir; however, his symptoms deteriorated. Serum rapid plasma reagin (RPR) and treponema pallidum hemagglutination tests were positive. Cerebrospinal fluid analysis revealed an elevated white blood cell count and positive RPR, confirming the diagnosis of neurosyphilis. Penicillin G (PCG) was administered, and his facial nerve function and headache improved...
2015: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/26516508/case-studies-illustrating-the-management-of-trigeminal-neuropathic-pain-using-topical-5-lidocaine-plasters
#19
Nadine Khawaja, Zehra Yilmaz, Tara Renton
UNLABELLED: Chronic trigeminal pain, with its severe related functional problems, is difficult to treat. Treatment is often empirically based on medications used for other chronic pain conditions. Systemic sodium channel and calcium channel blocking agents may cause a multitude of complications that are often poorly tolerated by the patient. AIM: The aim of this case report was to assess the efficacy of topical 5% lidocaine plasters in reducing pain and reducing adjuvant medication in patients with orofacial neuropathic pain...
May 2013: British Journal of Pain
https://www.readbyqxmd.com/read/26435868/pediatric-ramsay-hunt-syndrome-analysis-of-three-cases
#20
İmran Aydoğdu, Enes Ataç, Ziya Saltürk, Yavuz Atar, Erdi Özdemir, Yavuz Uyar, Ahmet Arslanoğlu, Güler Berkiten
Ramsay Hunt syndrome (RHS) is a disorder characterized by herpetic eruptions on the auricle, facial paralysis, and vestibulocochlear dysfunction and is attributed to varicella zoster virus (VZV) infection in the geniculate ganglion. Although it is a common cause of acute peripheral facial paralysis, children are not usually affected. The diagnosis is based on history and physical findings. Treatment of RHS uses a combination of high-dose corticosteroids and acyclovir. This paper presents three cases diagnosed as RHS in the pediatric age group in association with the literature review...
2015: Case Reports in Otolaryngology
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