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[Diagnostic image (12). Ramsay Hunt syndrome].

J W van der Meer1

  • 1Academisch Ziekenhuis, afd. Inwendige Geneeskunde, Nijmegen.

Nederlands Tijdschrift Voor Geneeskunde
|December 8, 2000
PubMed
Summary

A 17-year-old woman experienced facial paralysis and painful vesicles in her ear and throat, a condition known as Ramsay Hunt syndrome. This case highlights the characteristic presentation of this neurological disorder.

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Area of Science:

  • Neurology
  • Otolaryngology
  • Infectious Diseases

Background:

  • Ramsay Hunt syndrome, also known as herpes zoster oticus, is a rare neurological disorder.
  • It is caused by the reactivation of the varicella-zoster virus (VZV) in the geniculate ganglion of the facial nerve.

Observation:

  • A 17-year-old female patient presented with acute onset of unilateral facial paralysis.
  • Physical examination revealed the presence of vesicles in the ipsilateral ear canal and oropharynx.

Findings:

  • The clinical presentation of facial nerve palsy combined with auditory and oral vesicles is pathognomonic for Ramsay Hunt syndrome.
  • This specific combination of symptoms indicates viral reactivation affecting cranial nerves.

Implications:

  • Early diagnosis and prompt treatment of Ramsay Hunt syndrome are crucial to improve outcomes and reduce the risk of long-term complications.
  • This case underscores the importance of recognizing Ramsay Hunt syndrome in young adults presenting with facial paralysis and vesicular eruptions.

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