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Revista Mexicana de Neurociencia

Academia Mexicana de Neurología, A.C.
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2009, Number 2

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Rev Mex Neuroci 2009; 10 (2)

Importance of timely diagnosis and appropriate treatment of Ramsay Hunt syndrome. Clinical analysis of 12 cases

Carrillo IJ, Martínez CJ, Valdez TLA, Cantú MH, Vázquez UH
Full text How to cite this article

Language: Spanish
References: 8
Page: 137-139
PDF size: 37.45 Kb.


Key words:

Ramsay-Hunt, facial paralysis.

ABSTRACT

Introduction: Ramsay Hunt syndrome was first described in 1907; it is a disease of viral etiology based on the reactivation of varicella-zoster virus. It is characterized by varying degrees of the facial nerve with an erythematous vesicular rash that affects the inner, middle and external ear. Objective: To analyze the clinical findings, mode of presentation and level of infection of Ramsay Hunt syndrome. Material and methods: We present 12 cases with Ramsay Hunt clinical condition with facial injuries and otic labyrinths of varying degrees (three men and nine women, age range: 22-68 years) who were admitted to the Neurology Service. Patients received 1,000 mg of acyclovir during the first seven days and 600 ms OV for three more weeks. Results: All patients (100%) presented with peripheral facial palsy condition IV degree of the scale of Swanson, which dropped to 75%, grade I (nine patients) for three months. Conclusion: Without doubt, the shorter time between diagnosis and treatment is crucial for better results of facial condition.


REFERENCES

  1. Hunt JR. On herpetic inflammations of the geniculate ganglion, a new syndrome and its complication. J Nerve Dis 1907; 34: 73-96.

  2. Robillard ZRB, et al. Ramsay Hunt facial paralysis: clinical analysis of 185 patients. Otolaryngol Head Neck Surg 1986; 95: 292-7.

  3. Adour KK. Diagnosis and treatment. Facial paralysis. Pediatrics 1972; 49: 102-9.

  4. Marshack AA. Ramsay Hunt syndrome: a cranial polyneuropathy. Am J Otolaryngol 1988; 13: 289-98.

  5. Stafford FW, et al. The use of acyclovir in Ramsay Hunt syndrome. J Laryngol Otol 1986; 100: 337-40.

  6. Uri N, et al. Herpes Zoster oticus: treatment with acyclovir. Ann Otol Rhinol Laringol 1992; 101: 161-2.

  7. Dickins JRE. Herpes Zoster oticus: treatment intravenous acyclovir. Laryngoscopi 1988; 98: 776-9.

  8. Murakami S, et al. Treatment of Ramsay Hunt syndrome with acyclovirprednisone; significance of early diagnosis and treatment. Ann Neuol 1997; 41: 353-7.




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C?MO CITAR (Vancouver)

Rev Mex Neuroci. 2009;10