Random Medical Fact #2: Ramsay-Hunt Syndrome
02/24/07 20:33
I missed a practice question today about this
syndrome, which I had never heard of before. It's
also called "herpes zoster oticus," which is
essentially varicella zoster virus (VZV) reactivation
in the geniculate ganglion of cranial nerve VII. The
classic triad of symptoms includes peripheral
unilateral facial paralysis, ear pain, and vesicles
in the auditory canal. Ouch. In any case, I didn't
realize that VZV reactivation in the ear had a
special name, other than shingles. Treatment is with
antivirals (acyclovir) and analgesics. Some people
like to use prednisone. Pretty picky question if you
ask me. I don't think VZV reactivation in the other
cranial nerves has a special name, or at least I hope
not. The possibilities would be endless.
|