Adour K K
Department of Head and Neck Surgery, Kaiser Permanente Medical Center, Oakland, CA 94611.
Ann Neurol. 1994;35 Suppl:S62-4. doi: 10.1002/ana.410350718.
Otological complications of varicella-zoster virus (Ramsay Hunt syndrome) include facial paralysis, tinnitus, hearing loss, hyperacusis (dysacousis), vertigo, dysgeusia, and decreased tearing. Cranial nerves V, IX, and X are often affected. Gadolinium-enhanced magnetic resonance imaging demonstrates enhancement of the geniculate ganglion and facial nerve. These manifestations are identical to Bell's palsy but are more severe and carry a graver prognosis. Eight percent of Bell's palsy patients eventually are diagnosed as "zoster sine herpete." A new case of Ramsay Hunt syndrome will occur every 52 minutes, compared to every 10 minutes for a new case of Bell's palsy.
水痘-带状疱疹病毒引起的耳部并发症（拉姆齐·亨特综合征）包括面瘫、耳鸣、听力丧失、听觉过敏（听觉障碍）、眩晕、味觉障碍和泪液分泌减少。颅神经V、IX和X常受影响。钆增强磁共振成像显示膝状神经节和面神经强化。这些表现与贝尔麻痹相同，但更严重，预后更差。8%的贝尔麻痹患者最终被诊断为“无疱疹的带状疱疹”。每52分钟就会出现一例新的拉姆齐·亨特综合征病例，而贝尔麻痹新病例则是每10分钟出现一例。
