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三例拉姆齐-亨特综合征并发同侧声带麻痹

[Three cases of Ramsay-Hunt syndrome concurrent with ipsilateral vocal cord paralysis].

作者信息

Zhan Jiabin, Fu Zheng, Wei Xin

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Apr;28(8):578-9.

Abstract

The clinical data of 3 cases of Ramsay-Hunt syndrome concurrent with ipsilateral vocal cord paralysis were retrospectively analyzed, and the relevant literatures were also reviewed. Ramsay-Hunt syndrome is a kind of disease characterized by heavy ear pain, herpes zoster oticus and inner ear neurologic symptoms, which can also affect the vocal cords and give rise to vocal cords paralysis. Ramsay-Hunt syndrome can cause multiple in flammation of cranial nerves. The viral infection can also involve the 3rd and 10th cranial nerves. It mainly damage the facial nerve, followed by the involvement of vestibulocochlear nerve. The vagus nerve damage is rare, so the relevant clinical reports are less. It is important to take the objective data as well as subjective symptoms of the patients into consideration to make a definite diagnosis, so that we can treat it as soon as possible to achieve better curative effect.

摘要

回顾性分析3例拉姆齐-亨特综合征并发同侧声带麻痹的临床资料,并复习相关文献。拉姆齐-亨特综合征是一种以耳部剧痛、耳部带状疱疹及内耳神经症状为特征的疾病,也可累及声带并导致声带麻痹。拉姆齐-亨特综合征可引起多条颅神经炎症。病毒感染还可累及第Ⅲ和第Ⅹ颅神经。主要损害面神经,其次累及前庭蜗神经。迷走神经损害少见,故相关临床报道较少。综合考虑患者的客观资料及主观症状对明确诊断很重要,以便尽早治疗以取得更好疗效。

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