Ramsay Hunt syndrome.

Ramsay Hunt syndrome.
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DOI:
10.17245/jdapm.2018.18.6.333
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发表时间:
2018-12-01
期刊:
Journal of dental anesthesia and pain medicine
影响因子:
--
通讯作者:
Lee, Heryim
Lee, Heryim
中科院分区:
其他
文献类型:
--
作者:
Jeon, Younghoon;Lee, Heryim

文献摘要

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Ramsay Hunt综合征是一种急性带状疱疹,由膝状神经节的水痘-带状疱疹病毒重新激活而发生。Ramsay Hunt综合征的临床表现包括耳(耳带状疱疹)或口腔粘膜上的水疱性皮疹,伴有急性周围面神经麻痹。其他颅神经,如V,IX,XI和XII经常受累。Ramsay Hunt综合征临床表现的其他变异性是由颅神经和颈神经之间的个体性神经病变所解释的不同的皮肤受累模式产生的。建议使用含有抗病毒药物和类固醇的联合治疗来治疗Ramsay Hunt综合征。此外,Ramsay Hunt综合征的早期诊断是改善Ramsay Hunt综合征中受损神经的关键因素,从而尽早开始治疗。
Ramsay Hunt syndrome is a type of acute herpes zoster, which occurs by reactivation of the varicella-zoster virus at the geniculate ganglion. Clinical presentation of Ramsay Hunt syndrome includes a vesicular rash on the ear (herpes zoster oticus) or in the oral mucosa accompanied by acute peripheral facial nerve paralysis. Other cranial nerves such as V, IX, XI, and XII are often involved. Additional variability of the clinical picture of Ramsay Hunt syndrome is produced by varying patterns of skin involvement explained by individual anastomoses between cranial and cervical nerves. Combination treatment containing anti-viral agents and steroids is recommended for the treatment of Ramsay Hunt syndrome. Additionally, early diagnosis of Ramsay Hunt syndrome is a crucial factor to improve damaged nerves in Ramsay Hunt syndrome, which initiates treatment as soon as possible.