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Ramsay Hunt Sendromu: Olgu Sunumu

Year 2024, Volume: 2 Issue: 3, 19 - 22, 30.12.2024

Abstract

Ramsay Hunt Sendromu, Varicella Zoster virüsünün neden olduğu enfeksiyonun geç bir komplikasyonu olarak ortaya çıkmaktadır. Bu olgu sunumunda, Ramsay Hunt sendromu nedeniyle kliniğimize yatışı yapılan olgu üzerinden, hastalığın klinik özelliklerinin, tanısal yaklaşımın ve tedavi yöntemlerinin incelenmesi amaçlandı. Sol aurikula triangüler fossada, süperior kavum konkanın posteroinferiorunda ve dış kulak yolunda veziküler, ağrılı ve krutlanan herpetik lezyonlar ile başvuran 33 yaş kadın hastada House-Brackmann sınıflamasına göre, grade 4 periferik fasiyal paralizi saptandı. Hastaya Ramsay Hunt sendromu tanısı klinik olarak konuldu. Ramsay Hunt Sendromunda fasiyal paralizi, Bell paralizisine göre daha şiddetli ve daha kötü prognozla seyreder. Anamnez ve fizik muayene ile kolayca tanı konulabilir. Erken dönemde uygun medikal tedavi verilmesi prognozu iyi yönde etkilemektedir.

References

  • Lee HY, Kim MG, Park DC, Park MS, Byun JY, Yeo SG. Zoster sine herpete causing facial palsy. American Journal of Otolaryngology 2012; 33(5): 565–71.
  • Goswami Y, Gaurkar SS. Ramsay Hunt syndrome: an ıntroduction, signs and symptoms, and treatment. Cureus 2023; 15(1).
  • Jeon Y, Lee H. Ramsay Hunt syndrome. Journal of Dental Anesthesia and Pain Medicine 2018; 18(6): 333–7.
  • Murakami S, Hato N, Horiuchi J, Honda N, Gyo K, Yanagihara N. Treatment of Ramsay Hunt syndrome with acyclovir-prednisone: significance of early diagnosis and treatment. Annals of Neurology 1997; 41: 353-7.
  • Hato N, Kisaki H, Honda N, Gyo K, Murakami S, Yanagihara N. Ramsay Hunt syndrome in children. Ann. Neurol 2000; 48: 254-6.
  • Schimmer BP, Parker KL. Adrenocorticotropic hormone; adrenocortical steroids and their syntheticanalogs; inhibitors of the synthesis and actions of adrenocortical hormones. In: Brunton L, LazoJ, Parker K editor(s). Goodman and Gilman’s: ThePharmacological Basis of Therapeutics. New York: McGraw-Hill 2006; 1593-5.

Ramsay Hunt Syndrome: Case Report

Year 2024, Volume: 2 Issue: 3, 19 - 22, 30.12.2024

Abstract

Ramsay Hunt Syndrome occurs as a late complication of the infection caused by the Varicella Zoster virus. In this case report, we aimed to examine the clinical features, diagnostic approaches, and treatment methods of the disease in a patient admitted to our clinic with Ramsay Hunt syndrome.
A 33-year-old female patient presenting with vesicular, painful, and crusted herpetic lesions located in the left auricular triangular fossa, posteroinferior to the superior cavum concha, and external auditory canal was diagnosed with grade 4 peripheral facial paralysis according to the House-Brackmann classification. The patient was clinically diagnosed with Ramsay Hunt syndrome.
Facial paralysis in Ramsay Hunt Syndrome is more severe and has a worse prognosis than Bell paralysis. It can be easily diagnosed with anamnesis and physical examination. Providing appropriate medical treatment in the early period improves the prognosis.

References

  • Lee HY, Kim MG, Park DC, Park MS, Byun JY, Yeo SG. Zoster sine herpete causing facial palsy. American Journal of Otolaryngology 2012; 33(5): 565–71.
  • Goswami Y, Gaurkar SS. Ramsay Hunt syndrome: an ıntroduction, signs and symptoms, and treatment. Cureus 2023; 15(1).
  • Jeon Y, Lee H. Ramsay Hunt syndrome. Journal of Dental Anesthesia and Pain Medicine 2018; 18(6): 333–7.
  • Murakami S, Hato N, Horiuchi J, Honda N, Gyo K, Yanagihara N. Treatment of Ramsay Hunt syndrome with acyclovir-prednisone: significance of early diagnosis and treatment. Annals of Neurology 1997; 41: 353-7.
  • Hato N, Kisaki H, Honda N, Gyo K, Murakami S, Yanagihara N. Ramsay Hunt syndrome in children. Ann. Neurol 2000; 48: 254-6.
  • Schimmer BP, Parker KL. Adrenocorticotropic hormone; adrenocortical steroids and their syntheticanalogs; inhibitors of the synthesis and actions of adrenocortical hormones. In: Brunton L, LazoJ, Parker K editor(s). Goodman and Gilman’s: ThePharmacological Basis of Therapeutics. New York: McGraw-Hill 2006; 1593-5.
There are 6 citations in total.

Details

Primary Language Turkish
Subjects Otorhinolaryngology
Journal Section Case Reports
Authors

Dursun Mehmet Mehel 0000-0002-5613-3393

Seda Nur Cihan 0000-0001-6585-0717

Murat Niğdelioğlu 0009-0008-2079-9987

Doğukan Özdemir 0000-0003-2008-163X

Publication Date December 30, 2024
Submission Date June 16, 2024
Acceptance Date September 1, 2024
Published in Issue Year 2024 Volume: 2 Issue: 3

Cite

Vancouver Mehel DM, Cihan SN, Niğdelioğlu M, Özdemir D. Ramsay Hunt Sendromu: Olgu Sunumu. SMJ. 2024;2(3):19-22.