856 results match your criteria Ramsay Hunt Syndrome


French Society of ENT (SFORL) guidelines. Management of acute Bell's palsy.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 Jul 4. Epub 2020 Jul 4.

Service d'Otologie et d'Otoneurologie, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Chemin du Grand Revoyet, 69495 Pierre-Bénite, France. Electronic address:

AQFThe authors present the guidelines of the French Society of ENT and Head and Neck Surgery (SFORL) regarding the management of Bell's palsy in adults. After a literature review by a multidisciplinary workgroup, guidelines were drawn up based on retrieved articles and group-members' experience, then read over by an independent group to edit the final version. Guidelines were graded A, B, C or "expert opinion" according to decreasing level of evidence. Read More

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http://dx.doi.org/10.1016/j.anorl.2020.06.004DOI Listing

Zoster sine herpete: a review.

Korean J Pain 2020 Jul;33(3):208-215

Department of Pain Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, China.

Zoster sine herpete (ZSH) is one of the atypical clinical manifestations of herpes zoster (HZ), which stems from infection and reactivation of the varicella-zoster virus (VZV) in the cranial nerve, spinal nerve, viscera, or autonomic nerve. Patients with ZSH display variable symptoms, such as neuralgia, however, different from HZ, ZSH show no zoster, which makes clinical diagnosis difficult. ZSH not only causes initial symptoms, such as neuropathic pain in the affected nerve, Bell palsy, and Ramsay Hunt syndrome, but also postherpetic neuralgia and fatal complications such as VZV encephalitis and stroke. Read More

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http://dx.doi.org/10.3344/kjp.2020.33.3.208DOI Listing

Nystagmus in Ramsay Hunt syndrome with or without dizziness.

Neurol Sci 2020 Jun 26. Epub 2020 Jun 26.

Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Research Institute of Medical Science, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul, 05030, Republic of Korea.

Background: The presence of dizziness has been reported as a negative prognostic factor for recovery of facial palsy in Ramsay Hunt syndrome (RHS). The aim of this study was to investigate the incidence and patterns of nystagmus in RHS patients without dizziness, and discuss possible mechanisms. We also compared the severity and prognosis of facial palsy between RHS patients with and without dizziness. Read More

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http://dx.doi.org/10.1007/s10072-020-04536-wDOI Listing

Visualizing Affected Nerve Bundles of Cranial Nerves VII and VIII in Herpes Zoster Oticus.

Otol Neurotol 2020 Jun 24. Epub 2020 Jun 24.

Departments of Otolaryngology-Head and Neck Surgery, National Taiwan University Hospital, Taipei, Taiwan.

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http://dx.doi.org/10.1097/MAO.0000000000002740DOI Listing

Ramsay Hunt syndrome.

IDCases 2020 31;21:e00850. Epub 2020 May 31.

Department of Internal Medicine Provincial Hospital, Province no. 2, Janakpurdham, Dhanusha, Nepal.

We report a case of a 26-year-old previously healthy male who presented with peripheral facial nerve palsy and painful vesicular eruptions over an erythematous base on pinna and external auditory canal. A diagnosis of Ramsay Hunt syndrome was made. Patient improved with prednisolone, acyclovir, and physiotherapy. Read More

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http://dx.doi.org/10.1016/j.idcr.2020.e00850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301162PMC

Clinical characteristics of herpes zoster laryngitis.

Eur Arch Otorhinolaryngol 2020 Jun 6. Epub 2020 Jun 6.

Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, 42 Jebong-ro Dong-gu, Gwangju, 61469, Korea.

Introduction: Herpes zoster laryngitis (HZL) is a recently recognized rare disease, easily mistaken for common viral laryngopharyngitis. There are only a few case reports in the English literature. No study has evaluated the clinical characteristics of HZL. Read More

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http://dx.doi.org/10.1007/s00405-020-06074-9DOI Listing

A severe case of Ramsay Hunt Syndrome treated with acupuncture and related techniques.

Complement Ther Clin Pract 2020 May 24;39:101119. Epub 2020 Feb 24.

MD Rheumatology/Sports Medicine, Acupuncturist at Instituto Traumatologia, Hospital Quiron, Barcelona and at Energimed, Spain.

Ramsay-Hunt syndrome presents with a vesicular eruption in the ear canal or oral cavity associated with ipsilateral peripheral facial paralysis. The cause is reactivation of the herpes zoster virus in the geniculate ganglion. It is the second most frequent cause of non-traumatic peripheral facial paralysis. Read More

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http://dx.doi.org/10.1016/j.ctcp.2020.101119DOI Listing

Electroneurography cannot predict when facial synkinesis develops in patients with facial palsy.

J Med Invest 2020 ;67(1.2):87-89

Department of Otolaryngology, University of Tokushima School of Medicine, Tokushima, Japan.

The objective of this study is to clarify when facial palsy patients with lower value of Electroneurography (ENoG) should begin the rehabilitation to prevent the development of facial synkinesis. For this purpose, we examined the relationship between the value of ENoG measured 10-14 days after facial palsy onset and the onset day of the development of oral-ocular synkinesis. Sixteen patients with facial palsy including 11 with Bell's palsy and 5 with Ramsay Hunt syndrome (7 men and 9 women ; 15-73 years old ; mean age, 41. Read More

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http://dx.doi.org/10.2152/jmi.67.87DOI Listing
January 2020

[S2k guideline for the diagnosis and therapy of zoster and post-zoster neuralgia].

GMS Infect Dis 2020 12;8:Doc01. Epub 2020 Mar 12.

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology, Venereology and Allergy, Division of Evidence-based Medicine (dEBM), Berlin, Deutschland.

This guideline is aimed at registrars and consultants in dermatology, ophthalmology, ENT, pediatrics, neurology, virology as well as infectiology, anaesthesia and generell medicine as well as policymakers and payers and purchasers of care. It was developed by dermatologists, virologists, ophthalmologists, ENT physicians, neurologists, pediatrician and anesthetists using a formal consensus process (S2k).The guideline provides an overview of clinical and molecular diagnostics as well as antigen detection, antibody culture and viral culture. Read More

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http://dx.doi.org/10.3205/id000045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187398PMC

Data for temporal facial nerve recovery in Ramsay Hunt syndrome following intratympanic steroid therapy.

Data Brief 2020 Jun 23;30:105549. Epub 2020 Apr 23.

Departments of Otolaryngology, Head and Neck Surgery, Nagoya City University, Graduate School of Medical Sciences and Medical School, Nagoya, Japan.

This article contains data related to the research article entitled "Concurrent treatment with intratympanic dexamethasone improves facial nerve recovery in Ramsay Hunt syndrome" (Akira Inagaki, Toshiya Minakata, Schiyo Katsumi, Shingo Murakami) [1]. This data article reports the protocol for a clinical trial investigating the benefit of intratympanic steroid therapy on facial recovery in Ramsay Hunt syndrome and temporal facial recovery. The data included in this article are as follows: inclusion and exclusion criteria, the treatment protocol of steroids and antiviral therapies, facial recovery as assessed by the House-Brackmann scale in all enrolled patients, House-Brackmann scores in patients with a poor electrophysiological result, and House-Brackmann scores after propensity score matching. Read More

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http://dx.doi.org/10.1016/j.dib.2020.105549DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184121PMC

Clinical Presentations and Outcome Studies of Cranial Nerve Involvement in Herpes Zoster Infection: A Retrospective Single-Center Analysis.

J Clin Med 2020 Mar 30;9(4). Epub 2020 Mar 30.

Department of Neurology, Chang Gung Memorial Hospital, 199 Tung Hwa North Road, Taipei 105, Taiwan.

Varicella-zoster virus (VZV) infection can cause chickenpox and herpes zoster. It sometimes involves cranial nerves, and rarely, it can involve multiple cranial nerves. We aimed to study clinical presentations of cranial nerve involvement in herpes zoster infection. Read More

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http://dx.doi.org/10.3390/jcm9040946DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230397PMC

The efficacy and safety of acupuncture for Ramsay Hunt syndrome: A protocol for systematic review.

Medicine (Baltimore) 2020 Mar;99(13):e19582

Kunming Medical University, Kunming, Yunnan Province, China.

Background: Ramsay Hunt syndrome (RHS), also known as Hunt syndrome, is caused by varicella-zoster virus infection. The virus often invades the facial nerve geniculate ganglion to cause peripheral facial paralysis, accompanied by severe ear pain, auricular herpes zoster, tinnitus, deafness, vertigo, and other inner ear neurologic symptoms. The acupuncture has a long history as a traditional treatment of traditional Chinese medicine for the treatment of Hunt syndrome, with few adverse events and low cost. Read More

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http://dx.doi.org/10.1097/MD.0000000000019582DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220144PMC

Hypoacusis in Ramsay hunt syndrome: a hidden culprit.

Postgrad Med J 2020 Jul 27;96(1137):424. Epub 2020 Mar 27.

Department of Otorhinolaryngology, Hospital Tuanku Ja'afar, Seremban 70300, Negeri Sembilan, Malaysia

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http://dx.doi.org/10.1136/postgradmedj-2020-137723DOI Listing

Multiple cranial nerve injury in Ramsay Hunt Syndrome: a case report.

J Pak Med Assoc 2020 Mar;70(3):537-538

University of Health Sciences Sanliurfa Mehmet Akif Inan Research Hospital, Turkey.

Herpes zoster oticus (Ramsay Hunt Syndrome) is characterized by facial nerve paralysis, ear pain and auricular skin rash. It occurs as a result of reactivation oflatent varicella zoster virus infection in the geniculate ganglion of the facial nerve. Major clinical symptoms include 7th nerve paralysis or cranial nerve paralysis and vesicles along the nerve with cocomitant ear pain. Read More

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http://dx.doi.org/10.5455/JPMA.15045DOI Listing

Ramsay Hunt syndrome.

Pan Afr Med J 2019 16;34:201. Epub 2019 Dec 16.

Department of Obstetrics and Gynecology, Imperial Hospital Limited, Chittagong, Bangladesh.

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http://dx.doi.org/10.11604/pamj.2019.34.201.19207DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060913PMC
December 2019

Beyond Botox: Contemporary Management of Nonflaccid Facial Palsy.

Facial Plast Surg Aesthet Med 2020 Mar/Apr;22(2):65-70

Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.

Many transient facial nerve insults, including Bell's palsy, Ramsay Hunt syndrome, Lyme-associated facial paralysis, and temporal bone fractures, ultimately lead to nonflaccid facial palsy (NFFP). NFFP is associated with significant functional, aesthetic, psychological, and social impairments. However, algorithms for comprehensive management of this entity are not well developed and are rapidly evolving. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0009DOI Listing

Sydney Facial Nerve Clinic: experience of a multidisciplinary team.

ANZ J Surg 2020 05 4;90(5):856-860. Epub 2020 Mar 4.

Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.

Background: The Sydney Facial Nerve Clinic (SFNC) is a multidisciplinary clinic established in 2015, consisting of surgeons (otolaryngologists, head and neck and plastics/reconstructive), physiotherapists and speech pathologists.

Methods: We reviewed patients who attended the SFNC in the first 3 years and who had their symptoms recorded using the Facial Disability Index, and clinical staging recorded utilising the House-Brackmann (HB) score, Sydney Facial Nerve Score and Sunnybrook Facial Grading System (SFGS).

Results: Between May 2015 and June 2018, 145 patients attended the clinic. Read More

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http://dx.doi.org/10.1111/ans.15782DOI Listing

Nerve Integrity Monitor Responses to Direct Facial Nerve Stimulation During Facial Nerve Decompression Surgery Can Predict Postoperative Outcomes.

Otol Neurotol 2020 Jun;41(5):704-708

Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University, Niigata, Japan.

Objective: To test whether the threshold of nerve integrity monitor (NIM) responses during facial nerve decompression surgery can predict the postoperative outcome.

Study Design: Retrospective study.

Setting: University hospital. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002594DOI Listing

[Ramsay Hunt syndrome with hearing loss and vertigo].

Vestn Otorinolaringol 2019 ;84(6):69-72

N.I. Pirogov Russian National Research Medical University of the Ministry of Health of Russia, Moscow, Russia, 117997; Sverzhevsky Research Institute of Clinical Otorhinolaryngology, Moscow, Russia, 117152.

The article contains literature review on etiology, natural history and treatment of Ramsay Hunt syndrome. Differential diagnosis in case of 8 cranial nerve involvement is discussed. We present a case of the patient with Ramsay Hunt syndrome with hearing loss and vertigo is described. Read More

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http://dx.doi.org/10.17116/otorino20198406169DOI Listing
February 2020

Ramsay Hunt syndrome: characteristics and patient self-assessed long-term facial palsy outcome.

Eur Arch Otorhinolaryngol 2020 Apr 25;277(4):1235-1245. Epub 2020 Jan 25.

Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, PO Box 263, 00029 HUS, Helsinki, Finland.

Purpose: To explore the characteristics, medical treatments, and long-term facial palsy outcome in Ramsay Hunt syndrome.

Methods: Patient questionnaire including self-assessment of long-term facial palsy outcome and retrospective chart review. Initial facial palsy grade was compared to self-assessed or patient record stated palsy outcome. Read More

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http://dx.doi.org/10.1007/s00405-020-05817-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7072041PMC

Concurrent treatment with intratympanic dexamethasone improves facial nerve recovery in Ramsay Hunt syndrome.

J Neurol Sci 2020 Mar 9;410:116678. Epub 2020 Jan 9.

Departments of Otolaryngology, Head and Neck Surgery, Nagoya City University, Graduate School of Medical Sciences and Medical School, Nagoya, Japan.

Objective: To determine whether early intervention with intratympanic steroid injections, known as concurrent intratympanic steroid therapy (ITST), is an effective supplement to systemic steroid therapy for moderately-severe to severe Ramsay Hunt syndrome.

Methods: Forty-six patients with Ramsay Hunt syndrome (House-Brackmann grade IV or higher) who received either concurrent ITST with standard systemic steroid therapy (ITST group, n = 12) or standard systemic therapy alone (control group, n = 34) with antivirals starting within 7 days of onset. Patients in the concurrent ITST group received the standard systemic dose of prednisolone (410 mg in total) and intratympanic dexamethasone (16. Read More

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http://dx.doi.org/10.1016/j.jns.2020.116678DOI Listing

Brainstem and Cerebellar Involvement in Ramsay Hunt Syndrome.

Case Rep Otolaryngol 2019 12;2019:7605056. Epub 2019 Dec 12.

Department of Neurology, University of Missouri-Kansas City School of Medicine and Truman Medical Center, Kansas City, MO, USA.

We present a case of a 62-year-old Caucasian male with laryngeal cancer and Ramsay Hunt Syndrome otherwise known as herpes zoster oticus due to reactivation of the varicella zoster virus. Classic findings include the triad of ipsilateral facial paralysis, otic pain, and herpetic lesions in the sensory supply of the facial nerve. The common pathogenesis is associated with anterograde axonal reactivation of the varicella zoster virus in the geniculate ganglion. Read More

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http://dx.doi.org/10.1155/2019/7605056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931020PMC
December 2019

[Primary Ewing's sarcoma of the temporal bone: a rare case].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Nov;33(11):1105-1108

Ewing's sarcoma is a malignant, round cell tumor arising from the bones and primarily affecting children and adolescent. Involvement of the skull bones is rarely reported, constituting 1%-6% of the total Ewing's sarcoma cases. We describe a 33 years old male patient having Ewing sarcoma of the mastoid and petrous parts of temporal bone, whose clinical presentation mimicked mastoiditis with facial nerve palsy. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.11.024DOI Listing
November 2019

A Case of Disseminated Zoster in an Immunocompetent Patient.

Cureus 2019 Dec 4;11(12):e6286. Epub 2019 Dec 4.

Emergency Medicine, Envision Physician Services, Orlando, USA.

The incidence of herpes zoster, more commonly known as shingles, is approximately 1.2 million individuals per year, which has been increasing worldwide. While the most common presentation of zoster is a rash and acute neuritis (the pain associated with the rash) within one or more contiguous dermatomes, other more serious manifestations such as herpes zoster ophthalmicus, acute retinal necrosis, Ramsay Hunt syndrome (herpes zoster oticus), aseptic meningitis, pneumonitis, bacterial superinfection and disseminated zoster ought to be considered by the clinician. Read More

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http://dx.doi.org/10.7759/cureus.6286DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939971PMC
December 2019

Ramsay-Hunt syndrome and subsequent sensory neuropathy as potential immune-related adverse events of nivolumab: a case report.

BMC Cancer 2019 Dec 16;19(1):1220. Epub 2019 Dec 16.

Department of Respiratory Medicine, Toranomon Hospital (Branch), 1-3-1 Kajigaya, Takatsu-ku, Kawasaki-shi, Kanagawa, 213-8587, Japan.

Background: Nivolumab is an immune checkpoint inhibitor (ICI) and is used for the treatment of advanced non-small cell lung cancer (NSCLC). Several immune-mediated neurological adverse events associated with ICIs have been reported to date, such as Guillain-Barré syndrome. Nivolumab-associated neurological adverse events can vary, and their etiology remains unclear. Read More

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http://dx.doi.org/10.1186/s12885-019-6444-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6916037PMC
December 2019

Meningitis and Ramsay-Hunt syndrome in a 17-year old girl.

Neuro Endocrinol Lett 2019 Nov;40(3):149-151

Department of Children's Infectious Diseases, Medical University of Warsaw, Poland.

Introduction: Ramsay Hunt syndrome (RHS) is a rare manifestation of varicella-zoster virus (VZV) reactivation in geniculate ganglion. It usually manifests with a characteristic triad of symptoms including ipsilateral ear pain, vesicles in the external auditory canal, and facial nerve palsy.

Case: We present a case report showing RHS additionally manifested by meningitis and involvement of VIII cranial nerve. Read More

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November 2019

[Trigeminal herpes zoster with Ramsay Hunt syndrome: a report of one case and review of literature].

Shanghai Kou Qiang Yi Xue 2019 Aug;28(4):445-448

Department of Stomatology, Central Hospital of Xuzhou City. Xuzhou 221009, Jiangsu Province, China.

Trigeminal herpes zoster is a common disease in clinic. However, Ramsay Hunt syndrome with facial paralysis, earache and external auditory meatus herpes triad caused by herpes virus invading knee ganglion is rare. This paper reported a case of trigeminal herpes zoster complicated with Ramsay Hunt syndrome and reviewed the literature in order to further understand the nervous system infection caused by herpes zoster virus. Read More

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A Case of Varicella-Zoster Meningoencephalitis Presented by Ramsay Hunt Syndrome.

Indian J Otolaryngol Head Neck Surg 2019 Nov 19;71(Suppl 2):1508-1510. Epub 2019 Apr 19.

Internal Medicine, Abington Jefferson Hospital, Abington, PA USA.

Varicella-zoster virus (VZV) reactivation can cause meningoencephalitis. Ramsay Hunt syndrome is the reactivation of VZV in facial nerve, consisting of ear pain, facial nerve paralysis, and auricular rash. We present a case of VZV meningoencephalitis presented with Ramsay Hunt syndrome. Read More

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http://dx.doi.org/10.1007/s12070-019-01646-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6841819PMC
November 2019
5 Reads

Culprit of facial nerve palsy.

Emerg Med J 2019 Nov;36(11):665-683

Department of Internal Medicine, Centro Hospitalar Tondela-Viseu EPE, Viseu, Portugal.

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http://dx.doi.org/10.1136/emermed-2019-208691DOI Listing
November 2019

A case report of Ramsay Hunt syndrome in a patient with HIV treated by dual-wavelength photodynamic therapy.

Photodiagnosis Photodyn Ther 2019 Dec 14;28:282-285. Epub 2019 Oct 14.

Institute of Applied Physics RAS, Nizhny Novgorod, Russia. Electronic address:

In this paper we report on the application of dual-wavelength photodynamic therapy with a topical chlorin-based photosensitizer for treatment of Ramsay Hunt syndrome in a patient with HIV. Traditional treatment approach (combination of acyclovir and a glucocorticosteroid) failed to provide a significant outcome, while photodynamic therapy resulted in fast positive dynamics. No recurrence was observed in a 5-month-long follow-up. Read More

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http://dx.doi.org/10.1016/j.pdpdt.2019.10.009DOI Listing
December 2019
1 Read

Ramsay Hunt syndrome.

Authors:
Kotaro Kunitomo

Postgrad Med J 2020 Mar 8;96(1133):168. Epub 2019 Oct 8.

Aso Medical Center, Internal Medicine, Fukuoka, Japan

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http://dx.doi.org/10.1136/postgradmedj-2019-137154DOI Listing
March 2020
1 Read

Atypical clinical manifestations of herpes zoster oticus: diagnostic usefulness of magnetic resonance imaging.

J Neurovirol 2019 12 5;25(6):874-882. Epub 2019 Jul 5.

Department of Otorhinolaryngology-Head and Neck Surgery, Research Institute of Medical Science, Konkuk University Medical Center, Konkuk University School of Medicine, 120-1 Neungdong-ro (Hwayang-dong), Gwangjin-gu, Seoul, 05030, Republic of Korea.

Typical symptoms of Ramsay Hunt syndrome (RHS) consist of painful vesicular eruptions in the external ear, unilateral facial palsy, and/or vestibulocochlear deficit. When RHS patients show atypical clinical manifestations, correct diagnosis can be delayed, and ideal treatment timing for antiviral therapy may be missed. The aim of this study is to describe RHS patients with atypical clinical manifestations and evaluate the usefulness of magnetic resonance imaging (MRI) for early differential diagnosis. Read More

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http://dx.doi.org/10.1007/s13365-019-00781-8DOI Listing
December 2019
4 Reads

Electroneurography value as an indicator of high risk for the development of moderate-to-severe synkinesis after Bell's palsy and Ramsay Hunt syndrome.

Acta Otolaryngol 2019 Sep 3;139(9):823-827. Epub 2019 Jul 3.

a Department of Rehabilitation Medicine, Division of Comprehensive Medicine, Osaka Medical College , Takatsuki , Japan.

The degree of distress caused by the sequelae of peripheral facial nerve palsy usually depends on the severity of synkinesis. To clarify whether electroneurography (ENoG) can predict the severity of synkinesis after peripheral facial nerve palsy. One-hundred and fourteen patients treated for facial nerve palsy at our hospital from April 2014-September 2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1080/00016489.2019.1633474DOI Listing
September 2019
7 Reads

Differential diagnosis of peripheral facial nerve palsy: a retrospective clinical, MRI and CSF-based study.

J Neurol 2019 Oct 27;266(10):2488-2494. Epub 2019 Jun 27.

Department of Neurology, University of Ulm, 89081, Ulm, Germany.

Background: Facial nerve palsy is the most common cranial nerve disorder. There is no consensus on a single diagnostic tool deemed as the 'gold standard' for distinguishing between idiopathic (Bell's palsy) and symptomatic causes. The diagnosis is one of exclusion and most often made on physical examination. Read More

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http://dx.doi.org/10.1007/s00415-019-09387-wDOI Listing
October 2019
6 Reads

Herpes zoster oticus with meningitis masquerading as malignant otitis externa.

BMJ Case Rep 2019 Jun 7;12(6). Epub 2019 Jun 7.

Clinical Neurosciences, University of Cambridge, Cambridge, UK.

This is a case of an 85-year-old woman whom was admitted with otalgia and an abducens nerve palsy alongside a Pseudomonas otitis externa; she was presumed to have malignant otitis externa. However, despite optimum treatment and resolution of her otitis externa, she went on to develop an ipsilateral facial nerve palsy and sensorineural hearing loss. After further investigation, it was discovered that varicella-zoster meningitis was causing her polyneuropathy. Read More

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http://dx.doi.org/10.1136/bcr-2019-229569DOI Listing
June 2019
23 Reads

Peripheral Nerve Block Efficacy on Refractory Neuralgia Complicating Ramsay Hunt Syndrome: A Case Report.

A A Pract 2019 May 30. Epub 2019 May 30.

From the Departments of Anesthesia.

Several case studies have suggested the usefulness of peripheral nerve blocks in the management of various types of chronic pain that are unresponsive to standard medical treatment. We report here the case of a patient with severe neuralgia, secondary to Ramsay Hunt syndrome that was refractory to standard drug therapy. As a last resort, a block of the terminal branches of nervus intermedius was performed. Read More

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http://Insights.ovid.com/crossref?an=02054229-201909150-0000
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http://dx.doi.org/10.1213/XAA.0000000000001035DOI Listing
May 2019
15 Reads

A High Neutrophil-to-Lymphocyte Ratio Is Associated with Recovery from Ramsay Hunt Syndrome.

ORL J Otorhinolaryngol Relat Spec 2019;81(2-3):130-137. Epub 2019 May 22.

Department of Otolaryngology, Head and Neck Surgery, Graduate School, Kyung Hee University, Seoul, Republic of Korea,

Background: Prediction of the severity and outcomes of Ramsay Hunt syndrome (RHS) is difficult.

Objectives: The aim of this study was to evaluate the predictive power of the neutrophil-to-lymphocyte ratio (NLR) for the severity and outcomes of RHS.

Material And Methods: From 2007 to 2017, a retrospective study of 102 hospitalized patients with RHS was conducted. Read More

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https://www.karger.com/Article/FullText/499471
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http://dx.doi.org/10.1159/000499471DOI Listing
April 2020
12 Reads

Recovery of ocular and cervical vestibular evoked myogenic potentials after treatment of inner ear diseases.

Int J Neurosci 2019 Oct 9;129(10):1004-1012. Epub 2019 May 9.

Department of Otorhinolaryngology - Head and Neck Surgery, Second Affiliated Hospital, Xi'an Jiaotong University School of Medicine , Xi'an , People's Republic of China.

This study aimed to assess the clinical value of ocular vestibular evoked myogenic potential (oVEMP) and cervical vestibular evoked myogenic potential (cVEMP) for monitoring the rehabilitation of vestibular function in patients treated for peripheral vertigo. Fifteen patients who had been diagnosed with peripheral vertigo and showed no VEMP response on the affected side but exhibited symptom alleviation and VEMP responses after therapies were retrospectively enrolled. We analyzed the restoration and parameters of their VEMP response. Read More

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http://dx.doi.org/10.1080/00207454.2019.1608201DOI Listing
October 2019
8 Reads
1.528 Impact Factor

Ramsay Hunt Syndrome Associated with True Vocal Cord Palsy- A Case Report.

Iran J Otorhinolaryngol 2019 Mar;31(103):115-118

Departments of Otorhinolaryngology, Mashhad University of Medical Sciences, Mashhad, Iran.

Introduction: Varicella-zoster virus may cause an infectious disease called Ramsay Hunt syndrome. The related symptoms include facial nerve palsy (FNP), otalgia, the vesicular eruptions of the auricle and external auditory canal, less common ocular movement disorder, facial hypoesthesia, myofascial pain, vestibular symptoms, hearing loss, dysphasia, vocal cord paralysis, as well as tongue paralysis due to cranial neuropathies.

Case Report: Herein, we presented the case of a 55-year-old man with left peripheral facial nerve palsy, profound hearing loss, and true vocal cord paralysis. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449524PMC
March 2019
14 Reads

Comparison of the efficacy of various doses of steroids for acute facial palsy.

Acta Otolaryngol 2019 May 18;139(5):451-455. Epub 2019 Mar 18.

a Department of Otorhinolaryngology-Head & Neck Surgery , Ansan Hospital, College of Medicine, Korea University , Ansan , Korea.

Background: Although steroids are effective for multiple types of acute facial palsies, an appropriate dosage remains to be established.

Aims/objectives: The objective of this study is to compare the efficacy of high, low, and moderate doses of steroids in patients with acute facial palsy.

Materials And Methods: We retrospectively reviewed the medical records of 49 patients with Bell palsy, Ramsay Hunt syndrome, or traumatic facial palsy. Read More

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http://dx.doi.org/10.1080/00016489.2019.1578411DOI Listing
May 2019
11 Reads

For Whom the Bell's Toll: Recurrent Facial Nerve Paralysis, A Retrospective Study and Systematic Review of the Literature.

Otol Neurotol 2019 04;40(4):517-528

Department of Otorhinolaryngology.

Purpose: To examine the etiology, clinical course, and management of recurrent peripheral facial nerve paralysis.

Methods: Retrospective review at a single tertiary academic center and systematic review of the literature. Clinical presentation, laboratory and imaging findings, treatment and outcome for all cases of recurrent ipsilateral, recurrent contralateral, and bilateral simultaneous cases of facial paralysis are reviewed. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002167DOI Listing
April 2019
35 Reads

Exploring Patient Experience of Facial Nerve Palsy to Inform the Development of a PROM.

Plast Reconstr Surg Glob Open 2019 Jan 9;7(1):e2072. Epub 2019 Jan 9.

Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.

Background: There is currently a mandate globally to incorporate patient's perceptions of their illness into outcome measures, in order to provide a deeper insight into medical practice. Facial nerve palsy (FNP) is a devastating condition that can significantly impact quality of life. However, no measure currently exists that comprehensively assesses outcome in FNP using patient perception. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382227PMC
January 2019
33 Reads

[Ramsey-Hunt syndrome with initial syndrome of hoarseness: a case report].

Authors:
X Wang Y Feng J C Xu

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Mar;33(3):283-284;288

Ramsey-Hunt syndrome is caused by the varicella zoster virus, which mainly affects the facial nerve. The typical clinical features of Ramsey-Hunt syndrome are peripheral facial paralysis and ear herpes. In this case, initial symptoms were hoarseness and coughing, afterwards typical symptom occurred 5 days later which were earache, late-onset herpes, and facial paralysis. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.03.025DOI Listing
March 2019
5 Reads

Chemokines and matrix metalloproteinases in cerebrospinal fluid of patients with central nervous system complications caused by varicella-zoster virus.

J Neuroinflammation 2019 Feb 18;16(1):42. Epub 2019 Feb 18.

Department of Infectious Diseases, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Background: Varicella-zoster virus (VZV) is a common viral agent causing central nervous system (CNS) infections including encephalitis, meningitis, and Ramsay Hunt syndrome. Neurological complications occur frequently despite antiviral treatment. Matrix metalloproteinases (MMPs) and cytokines are involved in the neuroinflammatory response during CNS infection. Read More

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http://dx.doi.org/10.1186/s12974-019-1428-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378740PMC
February 2019
15 Reads

Ramsay-Hunt syndrome.

Rev Clin Esp 2020 Apr 14;220(3):203-204. Epub 2019 Feb 14.

Servicio de Dermatología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

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https://linkinghub.elsevier.com/retrieve/pii/S00142565193001
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http://dx.doi.org/10.1016/j.rce.2018.10.011DOI Listing
April 2020
10 Reads

Comparative prognosis in patients with Ramsay-Hunt syndrome and Bell's palsy.

Eur Arch Otorhinolaryngol 2019 Apr 1;276(4):1011-1016. Epub 2019 Feb 1.

Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, #1 Hoegi-dong, Dongdaemun-gu, Seoul, 130-702, Republic of Korea.

Purpose: Patients with Ramsay-Hunt syndrome have a poorer prognosis than patients with Bell's palsy. Factors of metabolic syndrome affecting prognosis were therefore compared between patients with Ramsay-Hunt syndrome and those with Bell's palsy.

Methods: This retrospective study included 106 with Ramsay-Hunt syndrome and 182 with Bell's palsy. Read More

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http://dx.doi.org/10.1007/s00405-019-05300-3DOI Listing
April 2019
12 Reads

Ramsay Hunt syndrome with pontine lesion: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14260

Department of Neurological Function Examination.

Rationale: The coexistence of Ramsay Hunt syndrome (RHS) and varicella-zoster virus (VZV) encephalitis is rare. A patient who developed RHS after being infected with VZV, along with a pontine lesion, is reported in the present study.

Patient Concerns: A 41-year-old male patient presented with his mouth askew for 7 days, and dizziness, accompanied by hearing loss for 3 days. Read More

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http://dx.doi.org/10.1097/MD.0000000000014260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380842PMC
February 2019
33 Reads
5.723 Impact Factor

Ramsay Hunt syndrome.

J Dent Anesth Pain Med 2018 Dec 28;18(6):333-337. Epub 2018 Dec 28.

Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.

Ramsay Hunt syndrome is a type of acute herpes zoster, which occurs by reactivation of the varicella-zoster virus at the geniculate ganglion. Clinical presentation of Ramsay Hunt syndrome includes a vesicular rash on the ear (herpes zoster oticus) or in the oral mucosa accompanied by acute peripheral facial nerve paralysis. Other cranial nerves such as V, IX, XI, and XII are often involved. Read More

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http://dx.doi.org/10.17245/jdapm.2018.18.6.333DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323042PMC
December 2018
43 Reads