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颅神经多发性神经病——拉姆齐·亨特综合征:病例报告与讨论

Cranial polyneuropathy--Ramsay Hunt's syndrome: case report and discussion.

作者信息

Turner J E, Geunes P M, Schuman N J

机构信息

Department of Biologic and Diagnostic Sciences, University of Tennessee College of Dentistry, Memphis, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Mar;83(3):354-7. doi: 10.1016/s1079-2104(97)90243-2.

DOI:10.1016/s1079-2104(97)90243-2
PMID:9084199
Abstract

Ramsay Hunt's syndrome is an infectious cranial polyneuropathy caused by varicella zoster, the herpetic virus that also causes chickenpox and shingles. Its symptoms include facial paralysis, ear pain, and an auricular rash. Oral lesions are also present in most cases. This syndrome can affect any cranial nerve and usually affects multiple nerves, causing central, cervical, and peripheral effects. This article reports the case of a 35-year-old white female who was treated by the oral surgery service of a large urban hospital, after first reporting to the emergency clinic. Her reported symptoms of unilateral left-side facial paralysis, auricular pain, and trigeminal hyperesthesia were confirmed by clinical examination. An initial short low-dose steroid regimen was unsuccessful. A second daily dosage of 50 mg of prednisone was successful in 21 days. No permanent sequelae were evident or reported after treatment.

摘要

拉姆齐·亨特综合征是一种由水痘带状疱疹病毒引起的感染性颅多神经病,该疱疹病毒还会引发水痘和带状疱疹。其症状包括面部麻痹、耳痛和耳部皮疹。大多数病例还存在口腔病变。该综合征可影响任何颅神经,且通常会影响多条神经,产生中枢、颈部和外周效应。本文报告了一名35岁白人女性的病例,她最初到急诊诊所就诊,后由一家大型城市医院的口腔外科进行治疗。临床检查证实了她所报告的单侧左侧面部麻痹、耳痛和三叉神经感觉过敏症状。最初短期低剂量的类固醇治疗方案未成功。每日50毫克泼尼松的第二种治疗方案在21天内取得了成功。治疗后未发现明显的永久性后遗症,也未收到相关报告。

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