Case report: Ramsay Hunt Syndrome

Authors

DOI:

https://doi.org/10.33448/rsd-v11i1.24670

Keywords:

Herpes Zoster; Facial paralysis; Ramsay Hunt Syndrome.

Abstract

The aim of this study is to report a case of a woman with Ramsay Hunt Syndrome (SRH). Female patient, 39 years old, presenting a vascular lesion in direct external auditory pavilhão, ipsilateral peripheral facial paralysis, later presenting a partial hearing loss in audiometry, presenting a classic quadro case of SRH. Amongst the laboratory tests, reagent sorology for Herpes Simplex type I and II, reagent IgG and Varicose Zoster, IgM and IgG reagents. Either the treatment used was acyclovir, tenofovir and predinisone, or that produced a partial melt of peripheral facial paralysis associated with or disappearance of injuries. The chart presented demonstrates the importance of an early diagnosis and treatment without a correct period and is essential for a good prognosis, avoiding the possible presence of mutilating motor nerve sequelae.

References

Chang, M. C. (2020). Efficacy of pulsed radiofrequency stimulation in patients with peripheral neuropathic pain: a narrative review. Pain Physician 21(2): 225–234.

Costa, A., & Veiga A. (2013). Ramsay-Hunt syndrome in the differential diagnosis of stroke. Rev Soc Bras Med Trop, 46(5): 592-663.

Coulson, S., Croxson, G. R., Adams, R., Oey,V., & Prince, P. R. (2011). Prognostic Factors in Herpes Zoster Oticus (Ramsay Hunt Syndrome ). Otol Neurotol, 32(6): 1025-1030.

Dayan, R. R., & Peleg, R. (2017). Herpes zoster - typical and atypical presentations. Postgrad Med, 129: 567-571.

Donati, D., Santi, L., Ginanneschi, F., Cerase, A., & Annunziata P. (2012). Successful response of non-recovering Ramsay Hunt syndrome to intravenous high dose methylprednisolone. J Neurol Sci, 318(1–2): 160–162.

Fei, Y., Deng, J., Ly, H., Yao, M., Wang, T., & Huang B. (2020). Pulsed radiofrequency of dorsal root ganglion of upper thoracic segment for herpes zoster neuralgia: case report. Medicine, 99(4): 23-29.

Rahimi, A. R. (1998). Ramsay Hunt Syndrome: a challenging Herpes Zoster infection. Geriatrics, 53(4): 101-112.

Gallego, M. P. O. et al. (2016). Síndrome de Ramsay Hunt: a propósito de un caso. Rev Clin Med Fam, 9(2): 119-122.

Gondivkar, S., Parikh, V., & Parikh, R. (2010). Herpes zoster oticus: a rare clinical entity. Contemp Clin Dent, 1(2): 127-129.

Kanerva, M., Jones, S., & Pitkaranta, A. (2020). Ramsay Hunt Syndrome: Characteristics and patient self-assessed long-term fácil palsy outcome. Eur Arch Otorhinolaryngol, 277(4)? 1235-1245.

Kim, Y. S., Son, JS., Lee, H., & Doo, A. (2021). A case reporto f refractory otalgia after Ramsay Hunt Syndorme sucessfully treated by applying pulsed radiofrequency to the great aricular nerve. Medicine, 100(39): 25-34.

Magalhães, M. J. S., Cardoso, M. S., & Gontijo, I. L. (2014). Ramsay hunt syndrome-case report. Revneuropsiq, 18(3): 247–252.

MacLean, C. S., MD, P. H. D., & Antonio, M. P. (2017). Ramsay Hunt Syndrome with a Cranial Nerve Polyneuropathy. Proc UCLA Healthc, 21(1): 3–12.

Murakami, S., Nakashiro, Y., Mizobuchi, M., Nato, N., & Gyo, K. (1998). Varicela - Zoster vírus distribution in Ramsay- Hunt Syndrome revealed by polymerase chain reaction. Acta Otolaryngol (stockh), 118(2): 145-149.

Orttega, M. M. M.., et al. (2017). Síndrome de Ramsay Hunt tipo II en mujer mayor de 90 años. Rev Fac Cienc Méd, 14(2): 46-51.

Song, H. et al. (2018). Clinical Characteristics of Dizziness Associated with Acute Peripheral Facial Palsy. J Audiol Otol, 22(3): 148-153.

Paiva, A. L. C., Araujo, J. L. V., Ferraz, V. R., & Veiga, J. C. E. (2017). Facial paralysis due to Ramsay Hunt syndrome – A rare condition. Rev Assoc Med Bras, 63(4): 301–305.

Pilar, M., Gallego, O., María, J., Angel, M., & Armero, T. (2016). Síndrome de Ramsay Hunt. A propósito de un caso. Rev Clín Med Fam, 9(2): 119–222.

Pupic-Bakrac, J., Terkes, A., & Baraka, I. (2021). Cranial polyneuropathy caused by herpes zoster infection: a retrospective single-center analysis. Eur Arch Otorhinolaryngol, ,278(1) :517–523.

Vale, S. O., et al. (2019). Medicina física e de reabilitação no tratamento da paralisia de Bell: qual a evidência? Rev Port Med Geral e Fam, 35(2): 116-125.

Tan, R., Yang, X.., Tang, X., Ma, W., & He, L. (2020). The efficacy and safety of acupuncture for Ramsay Hunt Syndrome. Medicine, 99(13): 78-84.

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Published

06/01/2022

How to Cite

BORGES, M. Q. .; CALDEIRA, D. M. .; RODRIGUES, E. C. .; SOUSA NETO, Z. A. de .; GUEDES, M. R. .; PRADO, Ábner P. .; BARROS SILVEIRA, M. .; MOURA, A. M. de .; CARNEIRO, M. A. D. . Case report: Ramsay Hunt Syndrome. Research, Society and Development, [S. l.], v. 11, n. 1, p. e25611124670, 2022. DOI: 10.33448/rsd-v11i1.24670. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/24670. Acesso em: 30 apr. 2024.

Issue

Vol. 11 No. 1

Section

Health Sciences

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Copyright (c) 2022 Mariana Queiroz Borges; Daniel Mansur Caldeira; Ellen Camila Rodrigues; Zeno Augusto de Sousa Neto; Mariana Resende Guedes; Ábner Pereira Prado; Murilo Barros Silveira; Aldenira Matias de Moura; Marcos Alexandre Diniz Carneiro

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