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拉姆齐·亨特综合征背景下声带麻痹的罕见病例。

A Rare Case of Vocal Cord Paralysis in the Setting of Ramsay Hunt Syndrome.

作者信息

Gillette Benjamin T, Heilbronn Cameron M

机构信息

Otolaryngology-Head and Neck Surgery, McLaren Oakland Hospital, Pontiac, USA.

出版信息

Cureus. 2023 Mar 11;15(3):e36027. doi: 10.7759/cureus.36027. eCollection 2023 Mar.

DOI:10.7759/cureus.36027
PMID:37051001
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10085628/
Abstract

Ramsay Hunt syndrome (RHS) with concomitant vocal cord paralysis (VCP) is a rare finding. This case is particularly rare because the patient lacked the symptoms of otalgia or hearing loss when in fact, a majority of cases typically demonstrate both hearing loss and otalgia. Unique to this case is also the fact that it was complicated by a concomitant infarction of the splenium corpus callosum and a right temporal meningioma. The purpose of this study was to bring awareness to the fact that RHS can cause multiple cranial nerve neuropathies including VCP and should be included in the differential diagnosis for VCP.

摘要

拉姆齐·亨特综合征(RHS)合并声带麻痹(VCP)是一种罕见的情况。该病例尤为罕见,因为患者没有耳痛或听力损失的症状,而实际上,大多数病例通常会同时出现听力损失和耳痛。该病例的独特之处还在于它并发了胼胝体压部梗死和右侧颞部脑膜瘤。本研究的目的是让大家认识到RHS可导致包括VCP在内的多种颅神经病变,在VCP的鉴别诊断中应考虑到这一疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fc1/10085628/de9b1144e155/cureus-0015-00000036027-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fc1/10085628/6fc7c8872858/cureus-0015-00000036027-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fc1/10085628/de9b1144e155/cureus-0015-00000036027-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fc1/10085628/6fc7c8872858/cureus-0015-00000036027-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fc1/10085628/de9b1144e155/cureus-0015-00000036027-i02.jpg

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A Rare Case of Vocal Cord Paralysis in the Setting of Ramsay Hunt Syndrome.拉姆齐·亨特综合征背景下声带麻痹的罕见病例。
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本文引用的文献

1
Extratemporal facial nerve branching patterns: systematic review of 1497 cases.颞外面神经分支模式:1497 例的系统综述。
J Laryngol Otol. 2022 Dec;136(12):1170-1176. doi: 10.1017/S0022215121003571. Epub 2022 Aug 26.
2
Infarction of the Splenium of the Corpus Callosum in the Age of COVID-19: A Snapshot in Time.脑胼胝体压部梗死在 COVID-19 时代:一个时间点的快照。
Stroke. 2020 Sep;51(9):e223-e226. doi: 10.1161/STROKEAHA.120.030434. Epub 2020 Jul 20.
3
Ramsay Hunt Syndrome Associated with True Vocal Cord Palsy- A Case Report.
拉姆齐·亨特综合征伴真性声带麻痹——病例报告
Iran J Otorhinolaryngol. 2019 Mar;31(103):115-118.
4
Herpetic cranial polyneuritis mimicking brain stem infarction-an atypical presentation of Ramsay Hunt syndrome.模仿脑干梗死的疱疹性颅多神经炎——拉姆齐·亨特综合征的非典型表现
BMJ Case Rep. 2016 Jun 1;2016:bcr2016215182. doi: 10.1136/bcr-2016-215182.
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[Three cases of Ramsay-Hunt syndrome concurrent with ipsilateral vocal cord paralysis].三例拉姆齐-亨特综合征并发同侧声带麻痹
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Apr;28(8):578-9.
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Vocal cord paralysis associated with Ramsay Hunt syndrome: looking back 50 years.与拉姆齐·亨特综合征相关的声带麻痹:回顾50年
BMJ Case Rep. 2014 Feb 6;2014:bcr2013201038. doi: 10.1136/bcr-2013-201038.
8
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An extremely unusual presentation of varicella zoster viral infection of cranial nerves mimicking Garcin syndrome.一种极为罕见的颅神经水痘带状疱疹病毒感染表现,酷似加欣综合征。
Clin Neurol Neurosurg. 2006 Dec;108(8):772-4. doi: 10.1016/j.clineuro.2005.09.002. Epub 2005 Oct 13.
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Jibiinkoka. 1964 Jan;36:45-7.