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Related Experiment Videos

Cephalic zoster with laryngeal paralysis

M A Rothschild1, W Drake, M Scherl

  • 1Department of Otolaryngology, Mount Sinai School of Medicine, New York, New York.

Ear, Nose, & Throat Journal
|November 1, 1994
PubMed
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Herpes zoster reactivation in the head and neck can cause cranial nerve issues, including vocal cord paralysis. Prompt diagnosis and aggressive intravenous acyclovir treatment are recommended for cephalic zoster with vocal cord paralysis.

Area of Science:

  • Neurology
  • Otolaryngology
  • Infectious Diseases

Background:

  • Herpes zoster reactivation in the head and neck commonly leads to cranial neuropathies, particularly facial paralysis.
  • Laryngeal paralysis is a less common but reported complication of zoster infections.

Observation:

  • This study presents two cases of herpes zoster causing laryngeal paralysis.
  • The cases highlight the association between cephalic zoster and vocal cord paralysis.

Findings:

  • Early suspicion of zoster is crucial, even in atypical presentations, due to advances in antiviral therapy.
  • Aggressive treatment with intravenous acyclovir is suggested for cephalic zoster complicated by vocal cord paralysis.

Implications:

Related Experiment Videos

  • This underscores the importance of considering zoster in the differential diagnosis of vocal cord paralysis.
  • Timely administration of antiviral medication can improve outcomes for patients with herpes zoster-related cranial neuropathies.