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Ramsay Hunt Syndrome

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

Mehmet Erkan Kaplama,

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 ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(3):537-538]

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

Ruijing Tan, Xingxin Yang, Xian Tang, Wenjie Ma, Lifen He,

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 ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(13):e19582]

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Hypoacusis in Ramsay hunt syndrome: a hidden culprit.

Jeyasakthy Saniasiaya,

Postgrad Med J (Postgraduate medical journal)
[2020, :]

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

Mervi Kanerva, Sanna Jones, Anne Pitkaranta,

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. Occurrence of different characteristics (blisters, hearing loss, vertigo, ... Read more >>

Eur Arch Otorhinolaryngol (European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery)
[2020, 277(4):1235-1245]

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

Akira Inagaki, Toshiya Minakata, Sachiyo Katsumi, Shingo Murakami,

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 ... Read more >>

J. Neurol. Sci. (Journal of the neurological sciences)
[2020, 410:116678]

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Ramsay Hunt syndrome.

Yaseer Muhammad Tareq Khan, Nishat Fatema,

Pan Afr Med J (The Pan African medical journal)
[2019, 34:201]

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Brainstem and Cerebellar Involvement in Ramsay Hunt Syndrome.

Vijay Letchuman, Charles D Donohoe,

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 ... Read more >>

Case Rep Otolaryngol (Case reports in otolaryngology)
[2019, 2019:7605056]

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Clinical implications of nervus intermedius variants in patients with geniculate neuralgia: Let anatomy be the guide.

William E Clifton, Sanjeet Grewal, Larry Lundy, William P Cheshire, R Shane Tubbs, Robert E Wharen,

Geniculate neuralgia (GN) is an uncommon, but severe, condition that is characterized by excruciating paroxysmal pain in the seventh cranial nerve's cutaneous distribution of general somatic afferent fibers carried through the nervus intermedius (NI). GN becomes a surgical disease in refractory cases of pain after exhaustive medical management. Surgical intervention ... Read more >>

Clin Anat (Clinical anatomy (New York, N.Y.))
[2019, :]

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Beyond Botox: Contemporary Management of Nonflaccid Facial Palsy.

Matthew Q Miller, Tessa A Hadlock,

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 ... Read more >>

Facial Plast Surg Aesthet Med (Facial plastic surgery & aesthetic medicine)
[2020, 22(2):65-70]

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Sydney Facial Nerve Clinic: experience of a multidisciplinary team.

Raymond Hayler, Jonathan Clark, Glen Croxson, Susan Coulson, Gazi Hussain, Quan Ngo, Sydney Ch'ng, Tsu-Hui Hubert Low,

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 ... Read more >>

ANZ J Surg (ANZ journal of surgery)
[2020, :]

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

Tatsuya Yamagishi, Shinsuke Ohshima, Chihiro Yagi, Meiko Kitazawa, Yoriko Nonomura, Shuji Izumi, Yuka Morita, Kuniyuki Takahashi, Arata Horii,

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. PATIENTS:Twenty peripheral facial palsy patients who underwent transmastoid decompression surgery. INTERVENTION:During decompression surgery, thresholds of NIM responses were measured via direct facial nerve stimulation ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2020, :]

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A Case of Disseminated Zoster in an Immunocompetent Patient.

Emily Drone, Latha Ganti,

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 ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6286]

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

Carlo Bienkowski, Monika Kowalczyk, Ewa Talarek, Maria Pokorska-Spiewak, Biruta Kierdaszuk, Magdalena Marczynska,

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 ... Read more >>

Neuro Endocrinol. Lett. (Neuro endocrinology letters)
[2019, 40(3):149-151]

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

Takashi Sakoh, Mami Kanzaki, Atsushi Miyamoto, Sayaka Mochizuki, Toshiyuki Kakumoto, Kenichiro Sato, Yoshikazu Uesaka, Kazuma Kishi,

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. CASE PRESENTATION:A ... Read more >>

BMC Cancer (BMC cancer)
[2019, 19(1):1220]

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

M A Shakhova, D A Sapunov, Yu D Avdonina, I S Avdonin, A V Shakhov, M Yu Kirillin,

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 ... Read more >>

Photodiagnosis Photodyn Ther (Photodiagnosis and photodynamic therapy)
[2019, 28:282-285]

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Ramsay Hunt syndrome.

Kotaro Kunitomo,

Postgrad Med J (Postgraduate medical journal)
[2020, 96(1133):168]

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

Zi-Xue Ding, Meng-Yao Wang, Jian Meng,

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 ... Read more >>

Shanghai Kou Qiang Yi Xue (Shanghai kou qiang yi xue = Shanghai journal of stomatology)
[2019, 28(4):445-448]

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

Jin Woo Choi, Hyunjoo Nahm, Jung Eun Shin, Chang-Hee Kim,

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 ... Read more >>

J. Neurovirol. (Journal of neurovirology)
[2019, 25(6):874-882]

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

J H Deng, R S Lai, W Li, P Hu, D H Xie, X M Yang,

SummaryEwing'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 ... Read more >>

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi (Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery)
[2019, 33(11):1105-1108]

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

Haruki Nakano, Shin-Ichi Haginomori, Shin-Ichi Wada, Yusuke Ayani, Ryo Kawata, Ryuichi Saura,

Background: The degree of distress caused by the sequelae of peripheral facial nerve palsy usually depends on the severity of synkinesis. Objective: To clarify whether electroneurography (ENoG) can predict the severity of synkinesis after peripheral facial nerve palsy. Materials and methods: One-hundred and fourteen patients treated for facial nerve palsy ... Read more >>

Acta Otolaryngol. (Acta oto-laryngologica)
[2019, 139(9):823-827]

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

Nicolas Jacques, Simon Karoutsos, Karine Aubry, Nathalie Nathan-Denizot,

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. ... Read more >>

A A Pract (A&A practice)
[2019, :]

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

Julia Zimmermann, Sarah Jesse, Jan Kassubek, Elmar Pinkhardt, Albert C Ludolph,

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. In the present study, ... Read more >>

J. Neurol. (Journal of neurology)
[2019, 266(10):2488-2494]

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Unilateral Facial Weakness.

Mohd Zulhilmie Mohd Nasir, Khasnur Abd Malek,

Oman Med J (Oman medical journal)
[2019, 34(5):472-473]

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The Diagnosis and Treatment of Idiopathic Facial Paresis (Bell's Palsy).

Josef Georg Heckmann, Peter Paul Urban, Susanne Pitz, Orlando Guntinas-Lichius, Ildikό Gágyor,

BACKGROUND:Peripheral facial nerve palsy is the most com- mon functional disturbance of a cranial nerve. 60-75% of cases are idiopathic. METHODS:This review is based on a selective literature search proceeding from the current, updated German-language guideline on the diagnosis and treatment of idiopathic facial nerve palsy. RESULTS:The recommended drug treatment ... Read more >>

Dtsch Arztebl Int (Deutsches Arzteblatt international)
[2019, 116(41):692-702]

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

Yunsoo Soh, Jong Ha Lee, Junyang Jung, Sung Hwa Dong, Jae Yong Byun, Moon Suh Park, Sang Hoon Kim, Seung Geun Yeo,

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 ... Read more >>

ORL J. Otorhinolaryngol. Relat. Spec. (ORL; journal for oto-rhino-laryngology and its related specialties)
[2019, 81(2-3):130-137]

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