8세 소아에서 특징적 얼굴신경 마비를 보이지 않은 Ramsay-Hunt 증후군 1례

Abstract

Ramsay-Hunt syndrome (Herpes zoster oticus) is characterized by sudden peripheral facial paralysis and vestibulocochlear dysfunction involving the seventh and eight cranial nerves accompanied by vesicular (herpetic) eruption on the auricular and external auditory canal. This syndrome is caused by a reactivation of the varicella-zoster virus, and symptoms include multiple herpetic eruption that occur on auricles, external auditory canal, face, oral mucosa, and neck, peripheral facial palsy, severe ear pain, tinnitus, hearing loss, hyperacusis, dizziness, dysgeusia, nausea, vomiting. Early diagnosis and treatment is the key to a good prognosis of facial nerve paralysis. There is not common in children, known as a rare cause of peripheral facial palsy. The author reports a case of 8-year-old girl that is diagnosed Ramsay-Hunt syndrome did not show any apparent facial nerve palsy and cured with steroids and antiviral therapy earlier. Key Words: Ramsay-Hunt syndrome; Varicella-zoster virus; Facial nerve palsy