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Ramsay Hunt Syndrome

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1. Ramsay Hunt syndrome with pontine lesion: A case report. Full Text available with Trip Pro

Ramsay Hunt syndrome with pontine lesion: A case report. 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.A 41-year-old male patient presented with his mouth askew for 7 days, and dizziness, accompanied by hearing loss for 3 days.The patient was initially diagnosed with RHS. Brainstem encephalitis was confirmed by lumbar

2019 Medicine

2. Bilateral taste disorders in patients with Ramsay Hunt Syndrome and Bell's Palsy. (Abstract)

Bilateral taste disorders in patients with Ramsay Hunt Syndrome and Bell's Palsy. Ramsay Hunt syndrome (RHS) and Bell palsy (BP) are typically known as facial nerve motor syndromes and are primarily unilateral. The aim of this study was to challenge this assertion, because both conditions are also known to be associated with viruses that typically affect several nerves.Ten participants with RHS, 12 with BP, all clinically unilateral, and 12 healthy controls were prospectively enrolled (...) pairwise with their mobile sides.Electrogustometrically, perception was reduced bilaterally in RHS (10-19dB, p < 0.001) and BP (3-5dB, p = 0.011-0.030) in all 3 innervation areas. Chemogustometrically, it was also reduced bilaterally in RHS (20-70%) and BP (8-50%). Papillary atrophies were increased 100% in RHS (p = 0.001) and BP (p < 0.001). They were more increased on the paretic side in RHS (30%, p = 0.078) and BP (83%, p < 0.001).In these 2 clinically unilateral conditions, the gustatory perception

2018 Annals of Neurology

3. Direction-fixed and Direction-changing Positional Nystagmus in Ramsay Hunt Syndrome. (Abstract)

Direction-fixed and Direction-changing Positional Nystagmus in Ramsay Hunt Syndrome. To investigate the incidence of positional nystagmus (PN) using a head-roll test in patients with Ramsay Hunt syndrome with vertigo (RHS_V) and discuss possible mechanisms.Retrospective study.Tertiary referral academic medical center.Twenty-eight patients with RHS_V were enrolled.Eye movements were recorded at positions of head roll to the right or left, and PN was classified as direction-fixed or direction

2018 Otology and Neurotology

4. Treatment of Ramsay-Hunt's syndrome with multiple cranial nerve involvement and severe dysphagia: A case report. Full Text available with Trip Pro

Treatment of Ramsay-Hunt's syndrome with multiple cranial nerve involvement and severe dysphagia: A case report. Ramsay-Hunt's syndrome (RHS) is a disorder characterized by facial paralysis, herpetic eruptions on the auricle, and otic pain due to the reactivation of latent varicella zoster virus in the geniculate ganglion. A few cases of multiple cranial nerve invasion including the vestibulocochlear nerve, glossopharyngeal nerve and vagus nerve have been reported. However, there has been

2018 Medicine

5. Ramsay Hunt Syndrome with Multiple Cranial Neuropathy in an Human Immunodeficiency Virus (HIV) Patient Full Text available with Trip Pro

Ramsay Hunt Syndrome with Multiple Cranial Neuropathy in an Human Immunodeficiency Virus (HIV) Patient BACKGROUND Ramsay Hunt syndrome is a rare otologic complication resulting from varicella zoster virus reactivation that can present with a myriad of clinical presentations. Most common being triad of ear pain, vesicles at auricle, and ear canal with same side facial palsy. CASE REPORT We report a case of a 29-year-old male with a human immunodeficiency virus (HIV) infection who presented (...) with left facial palsy, vesicles, pain in the left ear, dysphagia, dizziness, and headache resulting from multiple cranial nerves involvement such as cranial nerve V, VII, VIII, IX, and X. CONCLUSIONS This case report raises awareness among general practitioners to investigate for Ramsay Hunt syndrome in HIV patients presenting with ear pain with a thorough neurological exam and emphasize on the interplay of different specialties in managing these patients.

2018 The American journal of case reports

6. Usefulness of High-Resolution 3D Multi-Sequences for Peripheral Facial Palsy: Differentiation Between Bell's Palsy and Ramsay Hunt Syndrome. Full Text available with Trip Pro

Usefulness of High-Resolution 3D Multi-Sequences for Peripheral Facial Palsy: Differentiation Between Bell's Palsy and Ramsay Hunt Syndrome. To investigate the usefulness of magnetic resonance imaging (MRI) including three-dimensional (3D) sequences in the differentiation between Bell's palsy (BP) and Ramsay Hunt syndrome (RHS).A prospective study.Tertiary care center.Twenty patients: 15 patients with BP and five patients with RHS.Diagnostic.Clinical diagnosis (BP or RHS).The presence

2017 Otology and Neurotology

7. A case study of Ramsay Hunt Syndrome in conjunction with cranial polyneuritis. Full Text available with Trip Pro

A case study of Ramsay Hunt Syndrome in conjunction with cranial polyneuritis. Ramsay Hunt syndrome in conjunction with cranial polyneuritis is not extensively documented, and is very easily misdiagnosed.A case of a 53-year-old male with Ramsay Hunt syndrome in conjunction with cranial polyneuritis is presented with early symptoms of vertigo, cephalalgia, and facial palsy, followed by zoster oticus 10 days later.Diagnosis was challenging as this condition presents with multiple neuropathies

2017 Medicine

8. Ramsay Hunt syndrome Full Text available with Trip Pro

Ramsay Hunt syndrome 28246227 2017 10 16 2018 11 13 1488-2329 189 8 2017 02 27 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Ramsay Hunt syndrome. E320 10.1503/cmaj.160483 Montague Steven J SJ Department of Medicine, Queen's University, Kingston, Ont. montaugs@kgh.kari.net. Morton A Ross AR Department of Medicine, Queen's University, Kingston, Ont. eng Case Reports Journal Article Canada CMAJ 9711805 0820-3946 AIM IM Aged, 80 and over Dementia

2017 CMAJ : Canadian Medical Association Journal

9. The efficacy and safety of acupuncture for Ramsay Hunt syndrome: a systematic review and meta-analysis

The efficacy and safety of acupuncture for Ramsay Hunt syndrome: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web (...) A sensitivity analysis is conducted to assess the impact of decisions taken in the review process on the meta-analysis outcome. These decisions may have been made in various stages of the review, e.g. the decision to exclude certain disease models, the decision to pool certain units of measurement for an outcome, the choice of effect measure, how subgroup variables are stratified etc. In order to assess the robustness of the findings of the meta-analysis, the analyses are re-run using the alternative

2019 PROSPERO

10. Comparison of Acyclovir and Famciclovir for Ramsay Hunt Syndrome. (Abstract)

Comparison of Acyclovir and Famciclovir for Ramsay Hunt Syndrome. Although antiviral agents are widely used to treat Ramsay hunt syndrome (RHS), their relative effectiveness has not been assessed. This study retrospectively compared clinical outcomes in patients with RHS treated with the antiviral agents acyclovir and famciclovir.This study involved 227 patients diagnosed with RHS from 2003 to 2015. Patients were treated with prednisolone plus acyclovir (n = 102) or famciclovir (n = 125 (...) ). Patient outcomes were measured using the House-Brackmann scale according to age, initial severity of disease, electroneurography, and underlying disease.Based on complications (p = 0.019) and disease severity (p = 0.013), the overall complete recovery rate was significantly higher with famciclovir than with acyclovir, whereas rates of recovery in patients with severe (p = 0.111) and initially moderate (grades III-IV; p = 0.070) facial palsy were similar. Electroneurography also showed no difference

2017 Otology and Neurotology

11. Effects of a sensory branch to the posterior external ear canal: coughing, pain, Ramsay Hunt's syndrome and Hitselberger's sign. (Abstract)

Effects of a sensory branch to the posterior external ear canal: coughing, pain, Ramsay Hunt's syndrome and Hitselberger's sign. A distinct nerve innervating the external auditory canal can often be identified in close relation to the facial nerve when gradually thinning the posterior canal wall. This nerve has been attributed to coughing during cerumen removal, neuralgic pain, Hitselberger's sign and vesicular eruptions described in Ramsay Hunt's syndrome. This study aimed to demonstrate

2017 Journal of Laryngology & Otology

12. Prognostic factors of Bell's palsy and Ramsay Hunt syndrome. Full Text available with Trip Pro

Prognostic factors of Bell's palsy and Ramsay Hunt syndrome. The aim of this study was to compare clinical characteristics, electroneurography (ENoG) results, and functional outcomes of patients with Bell's palsy (BP) and Ramsay Hunt syndrome (RHS).Around 57 patients with BP and 23 patients with RHS were enrolled in this study from January 2010 and September 2015. Both clinical characteristics and ENoG results were recorded at hospital admission. The evaluations of functional outcomes were (...) conducted with House-Brackmann (H-B) grading system at 6-month follow-up.There were no significant differences in age, gender proportion, initial H-B grades, time before commencement of treatment and the presence of comorbid disease in 2 groups. However, the final H-B grades at 6-month follow-up were significantly better in BP patients than RHS patients. The results of ENoG showed that degeneration index (DI) was significantly higher in the RHS group than the BP group. But no significant difference

2017 Medicine

13. Vestibular Restoration and Adaptation in Vestibular Neuritis and Ramsay Hunt Syndrome with Vertigo. (Abstract)

Vestibular Restoration and Adaptation in Vestibular Neuritis and Ramsay Hunt Syndrome with Vertigo. To evaluate vestibular restoration and the evolution of the compensatory saccades in acute severe inflammatory vestibular nerve paralysis, including vestibular neuritis and Ramsay Hunt syndrome with vertigo.Prospective.Tertiary referral center.Vestibular neuritis (n = 18) and Ramsay Hunt syndrome patients with vertigo (n = 13) were enrolled.After treatment with oral corticosteroids, patients were (...) followed up for 6 months.Functional recovery of the facial nerve was scored according to the House-Brackman grading system. Caloric and video head impulse tests were performed in every patient at the time of enrolment. Subsequently, successive video head impulse test (vHIT) exploration was performed at the 1, 3, and 6-month follow-up.Eighteen patients with vestibular neuritis and 13 with Ramsay Hunt syndrome and associated vertigo were included. Vestibular function was significantly worse in patients

2017 Otology and Neurotology

14. Ramsay Hunt Syndrome

Ramsay Hunt Syndrome Ramsay Hunt Syndrome Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ramsay Hunt Syndrome Ramsay Hunt Syndrome (...) search on the term "Ramsay Hunt Syndrome." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Ramsay Hunt Paralysis Syndrome (C0242423) Concepts Disease or Syndrome ( T047 ) MSH Czech Ramsayův-Huntův syndrom paralýzy Portuguese Síndrome de Paralisia de Ramsay Hunt Spanish Síndrome de Parálisis de Ramsay Hunt French Paralysie de Hunt German Ramsey-Hunt-Syndrom Italian Sindrome di Ramsay Hunt Norwegian Ramsay Hunts

2018 FP Notebook

15. Herpes Zoster Infection Involving Mandibular Division of Trigeminal Nerve and Ramsay Hunt Syndrome with Meningitis in an Immunocompetent Patient: A Rare Association Full Text available with Trip Pro

Herpes Zoster Infection Involving Mandibular Division of Trigeminal Nerve and Ramsay Hunt Syndrome with Meningitis in an Immunocompetent Patient: A Rare Association Herpes zoster is a unilateral painful vesicular cutaneous eruption caused by the reactivation of the Varicella zoster virus. It commonly affects the older people and immunocompromised individuals. The dermatomes from T3 to L3 are most frequently involved. Its three stages include prodromal stage, active stage and chronic stage (...) . The common complications of the infection include post-herpetic neuralgia, Ramsay Hunt syndrome, Guillain-Barre syndrome, transverse myelitis and encephalomyelitis. This case report summarizes a very rare association of herpes zoster meningitis with the involvement of mandibular division of the trigeminal nerve and facial nerve. The patient improved with intravenous acyclovir and prednisolone treatment.

2016 Journal of clinical and diagnostic research : JCDR

16. Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature Full Text available with Trip Pro

Treatment and Prognosis of Facial Palsy on Ramsay Hunt Syndrome: Results Based on a Review of the Literature Introduction Ramsay Hunt syndrome is the second most common cause of facial palsy. Early and correct treatment should be performed to avoid complications, such as permanent facial nerve dysfunction. Objective The objective of this study is to review the prognosis of the facial palsy on Ramsay Hunt syndrome, considering the different treatments proposed in the literature. Data Synthesis (...) associated with acyclovir: 81.3% for methylprednisolone, 69.2% for prednisone; 61.4% for prednisolone; and 76.3% for hydrocortisone. Conclusions Patients with Ramsay-hunt syndrome, when early diagnosed and treated, achieve high rates of complete recovery. The association of steroids and acyclovir is better than steroids used in monotherapy.

2016 International archives of otorhinolaryngology

17. Herpetic cranial polyneuritis mimicking brain stem infarction—an atypical presentation of Ramsay Hunt syndrome Full Text available with Trip Pro

Herpetic cranial polyneuritis mimicking brain stem infarction—an atypical presentation of Ramsay Hunt syndrome An elderly man presented with severe right ear pain and discharge, hoarseness and dysphagia causing significant involuntary weight loss. Extensive investigations by varied specialties only highlighted right vocal cord palsy and right parotid lymphadenitis. Reassessment on transfer to a rehabilitation ward noted clinically subtle right Ramsay Hunt syndrome with multiple lower cranial

2016 BMJ case reports

18. Concurrent Ramsay Hunt syndrome and disseminated herpes zoster in a patient with relapsed chronic lymphocytic leukemia Full Text available with Trip Pro

Concurrent Ramsay Hunt syndrome and disseminated herpes zoster in a patient with relapsed chronic lymphocytic leukemia Ramsay Hunt Syndrome (RHS) is a rare complication of latent varicella-zoster virus (VZV) infection that can occur in immunocompetent host. It usually involves ipsilateral facial paralysis, ear pain and facial vesicles. Disseminated herpes zoster is another complication of VZV infection typically seen in immunocompromised hosts. We describe a patient with relapsed chronic

2016 IDCases

19. Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an Adult Full Text available with Trip Pro

Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an Adult Ramsay Hunt syndrome associated with varicella zoster virus reactivation affecting the central nervous system is rare. We describe a 55-year-old diabetic female who presented with gait ataxia, right peripheral facial palsy, and painful vesicular lesions involving her right ear. Later, she developed dysmetria, fluctuating diplopia, and dysarthria. Varicella zoster virus was detected in the cerebrospinal fluid (...) by polymerase chain reaction. She was diagnosed with Ramsay Hunt syndrome associated with spread to the central nervous system. Her facial palsy completely resolved within 48 hours of treatment with intravenous acyclovir 10 mg/kg every 8 hours. However, cerebellar symptoms did not improve until a tapering course of steroid therapy was initiated.

2016 The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien des Maladies Infectieuses et de la Microbiologie Médicale

20. A Case of Ramsay Hunt Syndrome with Atypical Presentation Full Text available with Trip Pro

A Case of Ramsay Hunt Syndrome with Atypical Presentation Ramsay Hunt syndrome is a rare complication of herpes zoster which results from the reactivation of the latent varicella-zoster virus in the geniculate ganglion. Although facial nerve is the most common affected nerve in Ramsay Hunt syndrome, other cranial and cervical nerves can also be affected. We present an atypical case of Ramsay Hunt syndrome in a 42-year-old male, with cervical nerve involvement. As spontaneous recovery rate (...) in Ramsay Hunt syndrome is low, early diagnosis and treatment plays a key role in full recovery of paralysis.

2016 Turkish journal of emergency medicine

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