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Published on: September 20, 2024
[Ramsay Hunt syndrome in children: four cases and review]
Carmen Sandoval C1, Alicia Núñez F, Macarena Lizama C
1Pontificia Universidad Católica de Chile, Santiago, Departamento de Pediatría, Servicio de Pediatría.
Summary
Ramsay-Hunt Syndrome (RHS) in children, a rare condition causing facial paralysis, can be effectively treated. Early antiviral therapy with acyclovir improves facial nerve palsy recovery rates in pediatric patients.
Area of Science:
- Neurology
- Virology
- Pediatrics
Background:
- Ramsay-Hunt Syndrome (RHS) is a rare neurological disorder caused by varicella-zoster virus (VZV) reactivation.
- It presents with peripheral facial paralysis (PFP), auricular skin lesions, and cochleovestibular symptoms.
Observation:
- This report details four pediatric cases (ages 3-17) of RHS.
- Key symptoms included earache and cochleovestibular compromise.
- Varicella-zoster virus (VZV) was confirmed via direct immunofluorescence in vesicular lesions for two patients.
Findings:
- All four pediatric patients received acyclovir treatment, with three also receiving steroids.
- Three out of four children experienced complete resolution of peripheral facial paralysis (PFP).
Implications:
- Ramsay-Hunt Syndrome (RHS) is uncommon in children but should be suspected with PFP, ear pain, or auricular vesicles.
- Prompt diagnosis and early treatment with acyclovir may enhance facial nerve palsy recovery in pediatric cases.
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