Ramsay Hunt Syndrome : Treatment of Facial Nerve Palsy with Acyclovir and Prednisolone |
Tae Gee Jung, MD, Hyung Kyung Jun, MD, Kwang-Sun Lee, MD, Tae Hyun Yoon, MD, and Kwang-Chol Chu, MD |
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea |
Ramsay Hunt 증후군 : Acyclovir와 Prednisolone의 병용 투여에 의한 안면신경마비의 치료 효과 |
정태기 · 전형경 · 이광선 · 윤태현 · 추광철 |
울산대학교 의과대학 서울중앙병원 이비인후과학교실 |
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ABSTRACT |
Ramsay Hunt syndrome is characterized by the symptoms of facial palsy, severe otalgia, and vesicles. In general, it has poor prognosis, leaving many patients with permanent facial nerve dysfunction. We analyzed retrospectively fifteen cases of Ramsay Hunt syndrome, which had been treated with Acyclovir and prednisolone. In follow-ups of 1 to 30 months, 66.7% of cases had grade I recovery, 20% of cases grade II, but 13.3% of cases had grade III and grade IV recovery. There was a tendency that the case with early treatment and delayed onset of facial palsy after the intial symptom had good prognosis. While the study numbers were too small for statistical significance, combined prescription with Acyclovir and prednisolone seemed to be effective for the treatment of Ramsay Hunt syndrome.
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Keywords:
Ramsay Hunt syndromeㆍFacial nerve palsyㆍAcyclovir. |
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