Ramsay Hunt Syndrome: Use of corticoids? Case presentation
Keywords:
Ramsay Hunt Syndrome, Herpes Zoster Otic, Facial paralysis.Abstract
Ramsay Hunt Syndrome is produced by the reactivation of varicella zoster virus in the geniculate ganglion, affecting the VII cranial nerve and causing facial paralysis, vesicular injuries, radiculoneuropathy and ganglionitis. It represents 16% of all causes of unilateral facial paralysis in children and 18% in adults. The reactivation can be induced by stress, fever, radiotherapy, tissue damage, immunosuppression or idiopathically. The virus replicates along the dorsal roots of the sensory nerves, including the geniculate ganglion, and the facial nerve, causing painful ganglionitis. The complete clinical form associates an infectious and sensitive syndrome (otodinia and rash), which may be accompanied by ipsilateral facial neuropathy. We report the case of a 24-year-old patient with a history of varicella-zoster virus primoinfection at age 9, with a unilateral otalgia, vesiculobullous lesions in the facial region and left atrium, homolateral peripheral facial paralysis; with clinical evidence he is diagnosed with Ramsay Hunt Syndrome. In the management of this pathology, diagnosis and early treatment are fundamental, and although the single or combined therapy associating antivirals and corticosteroids is still controversial, the combined treatment demonstrated better results and fewer complications.Metrics
References
Arana E., M. Contín, A. Guillermo & E. Morea (2011). Síndrome de Ramsay-Hunt: ¿qué tratamiento precisa? SEMERGEN 37: 436-440. Disponible en: http://www.elsevier.es/es-revista-semergen-medicina-familia-40-articulo-sindrome-ramsay-hunt-que-tratamiento-precisa-1138359311001663#elsevieritembibliografias [Consultado 14 octubre 2017]
Balcázar L. & Y. Ramírez (2014). Síndrome de Ramsay Hunt: informe de dos casos y revisión de la literatura. Revista de Especialidades Medico Quirúrgicas 19:192-199. Disponible en: http://www.medigraphic.com/pdfs/quirurgicas/rmq-2014/rmq142j.pdf [Consultado 10 octubre 2017]
Bloem C., A. Harriott, C. Doty, M. Diaz & J. Hirshon (2015). Herpes Zoster Oticus Overview of Herpes Zoster Oticus. Medscape. Disponible en: https://emedicine.medscape.com/article/1952189-overview#showall [Consultado 10 octubre 2017]
Campos A., J. Vitorino, V. Ricieri & J. Estevez (2017). Facial paralysis due to Ramsay Hunt syndrome – A rare condition. Revista da Associacao Medica Brasileira 63(4): 301-302.
De Ru J. & P. Van Benthem (2011). Combination Therapy Is Preferable for Patients With Ramsay Hunt Syndrome. Otology & Neurotology 32(5): 852-855.
House J.W. & D.E. Brackmann (1995). Facial nerve grading system Otolaryngology-Head and Neck Surgery 93(2): 146-147.
Lin Y.T. & P.-Y. Shih (2013). Facial palsy in a 38-year-old man. American Family Physician Journal 88(11): 771-772.
Martínez A., M. Lahoz & J. Uroz (2007). Síndrome de Ramsay-Hunt. Anales de Medicina Interna 24:31-34. Disponible en: http://scielo.isciii.es/pdf/ami/v24n1/nota3.pdf [Consultado 1 mayo 2017]
Montague S.J. & A.R. Morton (2017). Ramsay Hunt syndrome. Canadian Medical Association Journal 189(8): E320.
Muengtaweepongsa S. & P. Sukphulloprat (2017). Ramsay Hunt Syndrome. Medscape. Disponible en: https://emedicine.medscape.com/article/1166804-overview#showall [Consultado 12 octubre 2017]
Murillo C. & C. Vargas (2015). Otorrinolaringologia. Sìndrome de Ramsay Hunt. Revista Médica de Costa Rica y Centroamérica 72(614): 37-40. Disponible en: http://www.medigraphic.com/pdfs/revmedcoscen/rmc-2015/rmc151g.pdf [Consultado 10 octubre 2017].
Nair P., H. Gharote, P. Singh & P. Jain-Choudhary (2014). Herpes zoster on the face in the elderly. BMJ Case Reports: 1-5.
Orgaz M., J. Curbelo, M. Tricio & S. Pérez (2016). Síndrome de Ramsay Hunt. A propósito de un caso. Revista Clínica de Medicina de Familiar 9(2): 119-122. Disponible en: http://www.redalyc.org/articulo.oa?id=169646754010 [Consultado 12 octubre 2017]
Peña J., L. Romero, T. Gutiérrez, A. Guarneros & D. Sotomayor (2007). Síndrome de Ramsay Hunt. Revista Mexicana de Dermatologia 51(5): 190-195. Disponible en: http://www.medigraphic.com/pdfs/derrevmex/rmd-2007/rmd075d.pdf [Consultado 13 octubre 2017].
Pregerson B. (2014). Ear pain and a rash in a 24-year-old man. Medscape. Disponible en: https://reference.medscape.com/viewarticle/833922_3 [Consultado 13 octubre 2017]
Sandoval C., A. Núñez, M. Lizama, C. Margarit, K. Abarca & R. Escobar (2008). Síndrome de Ramsay-Hunt en Pediatría: Reporte de cuatro casos y revisión de la literatura. Revista Chilena de infectologia 25(6): 458-464.
Worme M., R. Chada & L. Lavallee (2013). An unexpected case of Ramsay Hunt Syndrome: case report and literature review . Bio Med Central Research Notes 6: 337.
Yeo S.W., D.H. Lee, K.H. Junio, B.C. Chang & Y.S. Park (2007). Analysis of prognostic factors in Bell's palsy and Ramsay Hunt syndrome. Auris Nasus Larynx 34(2): 159-164.
Zainine R., M. Sellami, A. Charfeddine, N. Beltaief, S. Sahtout & G. Besbes (2012). Ramsay Hunt syndrome. European Annals of Otorhinolaryngology, Head and Neck Diseases 129(1): 22-25.
Downloads
Published
How to Cite
Issue
Section
License
Those authors who have publications with this journal, accept the following terms:
- After the scientific article is accepted for publication, the author agrees to transfer the rights of the first publication to the CEDAMAZ Journal, but the authors retain the copyright. The total or partial reproduction of the published texts is allowed as long as it is not for profit. When the total or partial reproduction of scientific articles accepted and published in the CEDAMAZ Journal is carried out, the complete source and the electronic address of the publication must be cited.
- Scientific articles accepted and published in the CEDAMAZ journal may be deposited by the authors in their entirety in any repository without commercial purposes.
- Authors should not distribute accepted scientific articles that have not yet been officially published by CEDAMAZ. Failure to comply with this rule will result in the rejection of the scientific article.
- The publication of your work will be simultaneously subject to the Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
