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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1970;13(1): 35-8. |
Ramsay Hunt Syndrome (Herpes Zoster Oticus)-Report of 2 cases |
Hee Ro Yoon, MD, and Kyung Ja Kim, MD |
Department of Otolaryngology, Catholic Medical College, Seoul, Korea |
Ramsay Hunt Syndrome의 2例 |
尹喜老 · 金經慈 |
가톨릭大學校 醫科大學 耳鼻咽喉科學敎室 |
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ABSTRACT |
Herpes zoster oticus is an acute disease of the skin associated with vesicles on one side of the auricle and in the external auditory canal, facial paralysis and disturbances of 8th and 5th cranial nerves. Herpes zoster oticus was first named by
Körner in 1904 and that the disease could involve cranial nerves was demonstrated by many authors, but Tryde in 1872 was the first to report a case of herpes zoster with facial paralysis. The syndrome of herpes zoster of the ear with facial paralysis and acoustic symptoms was intensively studied and elaborated by James Ramsay Hunt in 1907. The first symptom is shooting pain in the ear, as a rule unilateral. For several days proceding the typical eruption the ear becomes violently red and swolled. Several days after the onset the typical eruption makes its appearance. It consists of vesicles arranged in groups. They make their appearance on the infiltrated skin of the zoster zone, distribution or areas of associated ganglia. The unilateral peripheral facial paralysis develops and disturbances of taste is a common complaint. The cochlear division of the auditory nerve is variously affected causing hearing loss and tinnitus. Similarly as the result of involvement of the vestibular nerve there are cases of vertigo, associated with nausea and vomiting and nystagmus. This disease is not rare and we could find several reported cases in Korea. The authors have experienced 2 cases of Ramsay Hunt syndrome and reported here now with reviewing the literatures. The ages of the patients were respectively, a 57-year-old female and a 34-year-old male.
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