A Clinical Observation of Ramsay Hunt Syndrome |
In Won Chang, MD1, Yong Bum Cho, MD1, Ip Jin Chung, MD1, Hyung Pyo Kim, MD1, Jong Han Shin, MD1, and Chul Ho Chang, MD2 |
1;Department of Otolaryngology, College of Medicine, Chonnam National University, 2;Department of Otolaryngology, College of Medicine, Chosun University, Korea |
Ramsay Hunt 증후군에 대한 임상적 고찰 |
장인원1 · 조용범1 · 정입진1 · 김형표1 · 신종한1 · 장철호2 |
전남대학교 의과대학 이비인후과학교실1;조선대학교 의과대학 이비인후과학교실2; |
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ABSTRACT |
A clinical syndrome which consists of vesicular eruption on the external ear, facial nerve paralysis, otalgia, tinnitus and hearing impairment, etc, is called as Ramsay Hunt syndrome or Herpes Zoster Oticus. The symptoms and signs of this acute illness are quite variable and sometimes atypical form is encountered. We experienced 6 cases of clinically diagnosed Ramsay Hunt syndrome from 1985 upto-date, and clinical observation and analysis were performed with concise review of literatures. Following results were obtained. 1) It had to significant differences in ratio of 3 male cases(50%) and 3 female cases(50%). 2) It occurred in younger adult, under 30 years old. 3) Right side was more frequently affected than left side(5 : 1). 4) Most frequent initial symptom was otalgia which preceded herpetic eruption or facial nerve paralysis. 5) Of all types of clinical pictures, Hunt classification type II was most commonly observed. 6) The most frequent lesion site of facial nerve was suprastapedial showing 4 cases(60%). 7) Entire cases were completely recovered within 4 weeks with conservative treatment.
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