Dimisianos Nikolaos, Ellul John, Salakou Stavroula, Tselengidou Elisavet, Papachristou Penelope, Papathanasopoulos Panagiotis
Neurology Clinic, Patras University Hospital, Patras, Greece.
Neurologist. 2015 Jan;19(2):38-9. doi: 10.1097/NRL.0000000000000004.
We report the case of a 55-year-old woman with herpes zoster of the mandibular branch of the left trigeminal nerve, which was complicated within 4 days by ipsilateral Ramsay Hunt syndrome. Recently, a case of trigeminal herpes zoster and Ramsay Hunt syndrome was described, in which the MRI and CSF findings along with the clinical course urged the authors to suggest the possibility of transaxonal spread of the virus. In our case, the findings and particularly the temporal relation between the 2 conditions render more plausible other pathophysiological mechanisms, such as the spread of the virus through the CSF.
我们报告了一例55岁女性,患有左侧三叉神经下颌支带状疱疹,在4天内并发同侧拉姆齐·亨特综合征。最近,有一例三叉神经带状疱疹和拉姆齐·亨特综合征的病例被描述,其中MRI和脑脊液检查结果以及临床病程促使作者提出病毒经轴突传播的可能性。在我们的病例中,这些发现,尤其是这两种情况之间的时间关系,使其他病理生理机制,如病毒通过脑脊液传播,显得更合理。