Herpes zoster oticus with multiple cranial nerve involvement: a rare presentation
Keywords:
Herpes zoster oticus, Cranial nerve involvement, Varicella zoster, Facial palsy, Palatal palsy, Vocal cord palsy
Abstract
Herpes zoster oticus is characterized by vesicular rash on the concha, EAC and pinna with a lower motor neuron type palsy of the facial nerve. The disease is a result of reactivation of dormant viral particles either in the geniculate ganglion of the Facial nerve or the spiral and vestibular ganglia of the vestibulocochlear nerve. It is a very painful condition which is usually associated with palsy of the Facial (VII) nerve. We report a case of Herpes zoster oticus involving the V, VII, VIII, IX and X cranial nerves.
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References
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2. Sweeney CJ, Gilden DH. Ramsay Hunt syndrome. J Neurol Neurosurg Psychiatry. 2001 Aug;71(2):149-54. [PubMed]
3. Lauridsen AG, Mirz F. [Herpes zoster oticus with cranial nerve affection]. Ugeskr Laeger. 2010 Oct 11;172(41):2849-51.
4. Sugita-Kitajima A, Sato S, Koizuka I, Ramsay Hunt Syndrome with cranial polyneuropathy involving cranial nervesVII, VIII, IX & X, Nihon Jibiinkoka Gakkai Kaiho. 2009 Sep;112(9):656-9. [PubMed]
5. Patil V, Borkar M, Saoji N. Rare case report of multiple cranial nerve involvement in Ramsay Hunt syndrome. Egyptian Dermatology Online Journal. 2014 Jun 1;10(1).
6. Vesikari T, Hardt R, Rümke HC, Icardi G, Montero J, Thomas S, Sadorge C, Fiquet A. Immunogenicity and safety of a live attenuated shingles (herpes zoster) vaccine (Zostavax®) in individuals aged ≥ 70 years: a randomized study of a single dose vs. two different two-dose schedules. Hum Vaccin Immunother. 2013 Apr;9(4):858-64. doi: 10.4161/hv.23412. Epub 2013 Jan 14.
How to Cite
1.
Talukdar J, Harshvardhan H. Herpes zoster oticus with multiple cranial nerve involvement: a rare presentation. Int J Med Res Rev [Internet]. 2016Aug.31 [cited 2024Apr.25];4(8):1430-3. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/675
Section
Case Report
OAI - Open Archives Initiative
