Ramsay Hunt syndrome with unilateral polyneuropathy involving cranial nerves V, VII, VIII, and XII in a diabetic patient.
Ramsay Hunt syndrome with unilateral polyneuropathy involving cranial nerves V, VII, VIII, and XII in a diabetic patient.
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发表时间：
2011-11
影响因子：
1.9
通讯作者：
Weilian Sun;Jiangyu Yan;Lili Chen
中科院分区：
文献类型：
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作者：
Weilian Sun;Jiangyu Yan;Lili Chen
Ramsay Hunt综合征是水痘带状疱疹病毒的一种罕见并发症，定义为周围性面瘫，通常由面部和听觉神经受累引起。Ramsay Hunt综合征可与颅神经V、VI、IX和X相关，但很少与XII相关。我们描述了一个非典型的情况下，拉姆齐亨特综合征与多个颅神经受累的神经V，VII，VIII和XII。入院后立即给予抗病毒药物、抗生素、胰岛素和中药治疗。经过3个月的联合治疗，患者恢复满意。带状疱疹可导致糖尿病患者严重感染，应在发现后尽快治疗。Ramsay Hunt综合征是一种以感觉和运动神经损害为特征的多颅神经炎。除了面神经和前庭神经麻痹，Ramsay Hunt综合征还可能累及颅神经V和XII。
Ramsay Hunt syndrome is a rare complication of the varicella zoster virus, defined as a peripheral facial palsy that typically results from involvement of the facial and auditory nerves. Ramsay Hunt syndrome can be associated with cranial nerves V, VI, IX, and X but rarely with XII. We describe an atypical case of Ramsay Hunt syndrome with multiple cranial nerve involvement of nerves V, VII, VIII, and XII. Antiviral drugs, antibiotics, insulin, and traditional Chinese drugs were administered immediately after admission. After 3 months of combination therapy, the patient had recovered satisfactorily. Herpes zoster can cause severe infections in diabetic patients and should be treated as soon after detection as possible. Ramsay Hunt syndrome should be recognized as a polycranial neuritis characterized by damage to sensory and motor nerves. In addition to facial and vestibular nerve paralysis, Ramsay Hunt syndrome may also involve cranial nerves V and XII.