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An extreme and unusual variant of Ramsay Hunt syndrome

Published online by Cambridge University Press:  29 June 2007

S. De
Affiliation:
Ear Nose and Throat Department, Edith Cavell Hospital, Peterborough, UK
A. G. Pfleiderer*
Affiliation:
Ear Nose and Throat Department, Edith Cavell Hospital, Peterborough, UK
*
Address for correspondence: A. G. Pfleiderer, Edith Cavell Hospital, Bretton Gate, Peterborough, PE3 9GZ

Abstract

Ramsay Hunt syndrome is characterized by facial nerve paralysis, herpetic vesicles in or around the ear and pain often associated with vestibulocochlear nerve involvement. It is thought to be a cranial polyneuropathy caused by the herpes zoster virus. We present an extreme and unusual variant of this disease with involvement of VIIth, VIIIth, Xth, XIth and XIIth cranial nerves as well as C2–4 sensory dermatomes and profound systemic upset which caused some diagnostic uncertainty.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

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