Babtain Fawzi A, Bhatia Harsha S, Assiri Amer H
Department of Internal Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia.
Neurosciences (Riyadh). 2012 Jul;17(3):262-4.
Ramsay Hunt syndrome is an infection of the head and neck caused by varicella zoster virus involving the facial nerve; less commonly, other cranial nerves might be involved. We report a case of Ramsay Hunt syndrome in an immune compromised patient, with classic facial nerve palsy and ipsilateral ear vesicles, which rapidly evolved to involve multiple cranial neuropathies, and improved dramatically with antiviral therapy and corticosteroids. Varicella zoster virus should be considered as a cause of multiple cranial neuropathies in an immune compromised patient, and abrupt treatment with acyclovir should be initiated once this diagnosis is suspected.
拉姆齐·亨特综合征是由水痘-带状疱疹病毒引起的头颈部感染，累及面神经；较少见的情况下，其他颅神经也可能受累。我们报告一例免疫功能低下患者的拉姆齐·亨特综合征，患者有典型的面神经麻痹和同侧耳部水疱，病情迅速发展为累及多条颅神经病变，经抗病毒治疗和皮质类固醇治疗后显著改善。对于免疫功能低下的患者，水痘-带状疱疹病毒应被视为多条颅神经病变的病因之一，一旦怀疑该诊断，应立即开始使用阿昔洛韦进行治疗。
