Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an Adult
Ramsay Hunt syndrome associated with varicella zoster virus reactivation affecting the central nervous system is rare. We describe a 55-year-old diabetic female who presented with gait ataxia, right peripheral facial palsy, and painful vesicular lesions involving her right ear. Later, she developed...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Canadian Journal of Infectious Diseases and Medical Microbiology |
| Online Access: | http://dx.doi.org/10.1155/2016/9859816 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832566516233535488 |
|---|---|
| author | Tommy L. H. Chan Ana M. Cartagena Anne Marie Bombassaro Seyed M. Hosseini-Moghaddam |
| author_facet | Tommy L. H. Chan Ana M. Cartagena Anne Marie Bombassaro Seyed M. Hosseini-Moghaddam |
| author_sort | Tommy L. H. Chan |
| collection | DOAJ |
| description | Ramsay Hunt syndrome associated with varicella zoster virus reactivation affecting the central nervous system is rare. We describe a 55-year-old diabetic female who presented with gait ataxia, right peripheral facial palsy, and painful vesicular lesions involving her right ear. Later, she developed dysmetria, fluctuating diplopia, and dysarthria. Varicella zoster virus was detected in the cerebrospinal fluid by polymerase chain reaction. She was diagnosed with Ramsay Hunt syndrome associated with spread to the central nervous system. Her facial palsy completely resolved within 48 hours of treatment with intravenous acyclovir 10 mg/kg every 8 hours. However, cerebellar symptoms did not improve until a tapering course of steroid therapy was initiated. |
| format | Article |
| id | doaj-art-f32d1c87cbe44c759e7cb51f0402250c |
| institution | Kabale University |
| issn | 1712-9532 1918-1493 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases and Medical Microbiology |
| spelling | doaj-art-f32d1c87cbe44c759e7cb51f0402250c2025-02-03T01:04:02ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95321918-14932016-01-01201610.1155/2016/98598169859816Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an AdultTommy L. H. Chan0Ana M. Cartagena1Anne Marie Bombassaro2Seyed M. Hosseini-Moghaddam3Department of Clinical Neurological Sciences, London Health Sciences Centre (LHSC), London, ON, CanadaDepartment of Clinical Neurological Sciences, London Health Sciences Centre (LHSC), London, ON, CanadaPharmacy Services, London Health Sciences Centre (LHSC) and Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, CanadaDivision of Infectious Diseases, Department of Medicine, London Health Sciences Centre (LHSC), London, ON, CanadaRamsay Hunt syndrome associated with varicella zoster virus reactivation affecting the central nervous system is rare. We describe a 55-year-old diabetic female who presented with gait ataxia, right peripheral facial palsy, and painful vesicular lesions involving her right ear. Later, she developed dysmetria, fluctuating diplopia, and dysarthria. Varicella zoster virus was detected in the cerebrospinal fluid by polymerase chain reaction. She was diagnosed with Ramsay Hunt syndrome associated with spread to the central nervous system. Her facial palsy completely resolved within 48 hours of treatment with intravenous acyclovir 10 mg/kg every 8 hours. However, cerebellar symptoms did not improve until a tapering course of steroid therapy was initiated.http://dx.doi.org/10.1155/2016/9859816 |
| spellingShingle | Tommy L. H. Chan Ana M. Cartagena Anne Marie Bombassaro Seyed M. Hosseini-Moghaddam Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an Adult Canadian Journal of Infectious Diseases and Medical Microbiology |
| title | Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an Adult |
| title_full | Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an Adult |
| title_fullStr | Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an Adult |
| title_full_unstemmed | Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an Adult |
| title_short | Ramsay Hunt Syndrome Associated with Central Nervous System Involvement in an Adult |
| title_sort | ramsay hunt syndrome associated with central nervous system involvement in an adult |
| url | http://dx.doi.org/10.1155/2016/9859816 |
| work_keys_str_mv | AT tommylhchan ramsayhuntsyndromeassociatedwithcentralnervoussysteminvolvementinanadult AT anamcartagena ramsayhuntsyndromeassociatedwithcentralnervoussysteminvolvementinanadult AT annemariebombassaro ramsayhuntsyndromeassociatedwithcentralnervoussysteminvolvementinanadult AT seyedmhosseinimoghaddam ramsayhuntsyndromeassociatedwithcentralnervoussysteminvolvementinanadult |