Meyer P M, Bühlmann U, Goetschel P
Klinik für Kinder und Jugendliche, Stadtspital Triemli, Zürich.
Praxis (Bern 1994). 2010 Jan 6;99(1):61-5. doi: 10.1024/1661-8157/a000008.
Ramsay Hunt syndrome (RHS) is defined as a peripheral facial nerve palsy accompanied by an erythematous vesicular rash on the ear (zoster oticus) and hard palate. It is known that varicella zoster virus (VZV) causes RHS. History and neurological examination remain the mainstay of diagnosis. Prednisolone and acyclovir/valacyclovir is helpful in RHS when given within three days of onset. We report on a 14-year-old boy who had RHS accompanied by meningitis. Polymerase chain reaction identified VZV in exudates from the geniculate zone of the ear, the hard palate and in the CSF.
拉姆齐·亨特综合征（RHS）的定义为伴有耳部（耳带状疱疹）和硬腭红斑水疱疹的周围性面神经麻痹。已知水痘带状疱疹病毒（VZV）可导致RHS。病史和神经系统检查仍是诊断的主要依据。泼尼松龙和阿昔洛韦/伐昔洛韦在发病三天内使用对RHS有帮助。我们报告了一名患有RHS并伴有脑膜炎的14岁男孩。聚合酶链反应在耳部膝状区、硬腭的渗出物以及脑脊液中检测到了VZV。
