Ramsay Hunt sendromunda kombine tedavi: Klinik ve prognozun değerlendirilmesi

Year 2014, Volume: 4 Issue: 3, - , 01.09.2014

Ercan Pınar Abdulkadir İmre Yüksel Olgun Ahmet Ata Ece Murat Songu Hale Aslan

https://doi.org/10.2399/jmu.2014003005

Abstract

Amaç: Çalışmanın amacı Ramsay Hunt sendromu tanısı alan hastaların klinik özelliklerini, tedavi ve sonuçlarını retrospektif olarak analiz etmektir. Yöntem: Ramsay Hunt sendromlu 12 hasta retrospektif olarak analiz edildi. Hastaların cinsiyeti, yaşı, tedaviye ilk başvuru süresi ve klinik sonuçları kaydedildi. Fasiyal disfonksiyonun değerlendirilmesinde House-Brackmann evreleme sistemi kullanıldı. Bütün hastalar oral steroid ve acyclovir ile tedavi edildi. Bulgular: Hastalarımızın 7'si erkek, 5'i kadın idi. Hastalarımızın yaş ortalaması 59 olarak bulundu (21-68 arası). En önemli semptom akut fasiyal paralizi idi. Hastaların tedavi öncesi House-Brackmann skalası III ile VI arasında değişmekteydi. Tüm hastalarda ilk ortalama House-Brackmann skalası değeri 4.5, tedavi sonrası 2.33 idi. House Brackmann skalası V ve VI olan hastalarda fasiyal paralizinin dönme riski daha düşüktü. Sonuç: Ramsay Hunt sendromunda, fasiyal paralizinin prognozu ilk semptomlara ve klinik bulgulara bağlıdır. Prognoz ciddi paralizi ve komorbid hastalığı olanlarda daha kötüdür.

Keywords

Ramsay Hunt sendromu, tedavi, prognoz

Combined treatment in Ramsay Hunt syndrome: evaluation of clinic and prognosis

Abstract

Objective: We retrospectively analysed clinical characteristics, treatment and outcomes of the patients with Ramsay Hunt syndrome. Methods: Twelve patients with Ramsay Hunt syndrome were analysed retrospectively. Data recorded included sex, age, time from first onset to initial treatment and clinical outcomes. The House-Brackmann scale was used to assess initial facial nerve dysfunction and final facial nerve impairment. All patients were treated with oral steroids and oral acyclovir. Results: There were 7 male and 5 female patients. Mean age was 59 (range: 21 to 68) years. The main symptom was acute facial palsy. House-Brackmann classification of facial nerve function ranged from grade III to VI before treatment. The median baseline House-Brackmann grade was 4.5 and it was 2.33 after the treatment in all patients. Recovery rate of facial palsy was lower in patients with House-Brackmann grades V and VI. Conclusion: In this syndrome, the prognosis of facial palsy depends on the initial symptoms and clinical findings. The prognosis was poorer in severe palsy and patients with comorbid disease(s).

Keywords

Ramsay Hunt syndrome, treatment, prognosis

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• Please cite this article as: Pınar E, ‹mre A, Olgun Y, Ece AA, Songu M, Aslan H. Combined treatment in Ramsay Hunt syndrome: evaluation of clinic and
• prognosis. J Med Updates 2014;4(3):110–112.