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Ramsay Hunt syndrome with pontine lesion: A case report
RATIONALE: The coexistence of Ramsay Hunt syndrome (RHS) and varicella-zoster virus (VZV) encephalitis is rare. A patient who developed RHS after being infected with VZV, along with a pontine lesion, is reported in the present study. PATIENT CONCERNS: A 41-year-old male patient presented with his mo...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380842/ https://www.ncbi.nlm.nih.gov/pubmed/30702583 http://dx.doi.org/10.1097/MD.0000000000014260 |
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author | Ji, Ye Ma, Guo-Mei Kang, Zhi-Lei Zhang, Yi Han, Jing-Zhe Li, Jin Wu, Dan-Dan Wang, Jia |
author_facet | Ji, Ye Ma, Guo-Mei Kang, Zhi-Lei Zhang, Yi Han, Jing-Zhe Li, Jin Wu, Dan-Dan Wang, Jia |
author_sort | Ji, Ye |
collection | PubMed |
description | RATIONALE: The coexistence of Ramsay Hunt syndrome (RHS) and varicella-zoster virus (VZV) encephalitis is rare. A patient who developed RHS after being infected with VZV, along with a pontine lesion, is reported in the present study. PATIENT CONCERNS: A 41-year-old male patient presented with his mouth askew for 7 days, and dizziness, accompanied by hearing loss for 3 days. DIAGNOSES: The patient was initially diagnosed with RHS. Brainstem encephalitis was confirmed by lumbar puncture and cerebrospinal fluid. Brain magnetic resonance imaging (MRI) and diffusion-weighted imaging (DWI) revealed how VZV entered the intracranial space along the vestibulocochlear nerve and facial nerve in the acute period. INTERVENTIONS: Intravenous acyclovir, IV, immunoglobulins (IVIg) and methylprednisolone were administered. OUTCOMES: The herpes was cleared up and left facial nerve palsy was improved, but hearing loss in the left ear did not improve. LESSONS: An MRI was necessary for some VZV infections limited to the cranial nerve, although there was no evidence of brain stem injury. DWI provided evidence, showing how VZV entered the brain in the early stage. This allowed the doctor to judge the necessity of a lumbar puncture. |
format | Online Article Text |
id | pubmed-6380842 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-63808422019-03-11 Ramsay Hunt syndrome with pontine lesion: A case report Ji, Ye Ma, Guo-Mei Kang, Zhi-Lei Zhang, Yi Han, Jing-Zhe Li, Jin Wu, Dan-Dan Wang, Jia Medicine (Baltimore) Research Article RATIONALE: The coexistence of Ramsay Hunt syndrome (RHS) and varicella-zoster virus (VZV) encephalitis is rare. A patient who developed RHS after being infected with VZV, along with a pontine lesion, is reported in the present study. PATIENT CONCERNS: A 41-year-old male patient presented with his mouth askew for 7 days, and dizziness, accompanied by hearing loss for 3 days. DIAGNOSES: The patient was initially diagnosed with RHS. Brainstem encephalitis was confirmed by lumbar puncture and cerebrospinal fluid. Brain magnetic resonance imaging (MRI) and diffusion-weighted imaging (DWI) revealed how VZV entered the intracranial space along the vestibulocochlear nerve and facial nerve in the acute period. INTERVENTIONS: Intravenous acyclovir, IV, immunoglobulins (IVIg) and methylprednisolone were administered. OUTCOMES: The herpes was cleared up and left facial nerve palsy was improved, but hearing loss in the left ear did not improve. LESSONS: An MRI was necessary for some VZV infections limited to the cranial nerve, although there was no evidence of brain stem injury. DWI provided evidence, showing how VZV entered the brain in the early stage. This allowed the doctor to judge the necessity of a lumbar puncture. Wolters Kluwer Health 2019-02-01 /pmc/articles/PMC6380842/ /pubmed/30702583 http://dx.doi.org/10.1097/MD.0000000000014260 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | Research Article Ji, Ye Ma, Guo-Mei Kang, Zhi-Lei Zhang, Yi Han, Jing-Zhe Li, Jin Wu, Dan-Dan Wang, Jia Ramsay Hunt syndrome with pontine lesion: A case report |
title | Ramsay Hunt syndrome with pontine lesion: A case report |
title_full | Ramsay Hunt syndrome with pontine lesion: A case report |
title_fullStr | Ramsay Hunt syndrome with pontine lesion: A case report |
title_full_unstemmed | Ramsay Hunt syndrome with pontine lesion: A case report |
title_short | Ramsay Hunt syndrome with pontine lesion: A case report |
title_sort | ramsay hunt syndrome with pontine lesion: a case report |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380842/ https://www.ncbi.nlm.nih.gov/pubmed/30702583 http://dx.doi.org/10.1097/MD.0000000000014260 |
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