Hashemilar Mazyar, Ghabili Kamyar, Shoja Mohammadali Mohajel, Savadi-Oskouei Dariush, Keyvani Hossein
J Med Case Rep. 2009 Sep 14;3:9134. doi: 10.4076/1752-1947-3-9134.
Simultaneous involvements of multiple cranial nerve ganglia (geniculate ganglion and peripheral ganglia of cranial nerves VIII, IX and X) by varicella-zoster virus and its subsequent activation may result in the characteristic eruptions of herpes zoster cephalicus. Coexistence of facial palsy and involvement of upper cervical dermatomes by varicella-zoster virus is quite rare.
Here, we report a 71-year-old Iranian man with involvement of multiple sensory ganglia (geniculate ganglion and upper dorsal root ganglia) by varicella-zoster virus. He presented with right-sided facial weakness along with vesicular eruptions on the right side of his neck, and second and third cervical dermatomes.
The present case is an example of herpes zoster cephalicus with cervical nerve involvement. Although resembling Ramsay Hunt syndrome with presence of facial nerve paralysis and accompanying vesicles, involvement of cervical dermatomes is not a feature of the classic Ramsay Hunt syndrome.
水痘-带状疱疹病毒同时累及多个颅神经节（膝状神经节以及第VIII、IX和X颅神经的外周神经节）及其随后的激活可能导致头面部带状疱疹的特征性皮疹。水痘-带状疱疹病毒导致的面神经麻痹与颈上皮肤节段受累同时存在的情况相当罕见。
在此，我们报告一名71岁的伊朗男性，其多个感觉神经节（膝状神经节和上背根神经节）被水痘-带状疱疹病毒累及。他表现为右侧面部无力，同时右侧颈部、第二和第三颈皮肤节段出现水疱性皮疹。
本病例是伴有颈神经受累的头面部带状疱疹的一个实例。尽管因存在面神经麻痹和伴随的水疱而类似于拉姆齐·亨特综合征，但颈皮肤节段受累并非经典拉姆齐·亨特综合征的特征。
