Hodgkin lenfomalı bir olguda Ramsay-Hunt sendromu
Küçük Resim Yok
Tarih
2001
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Ramsay Hunt Sendromu (RHS), varisella zoster virüsü ile yedinci kraniyal sinirin genikulat gangliyonunun infeksiyonudur. Sendrom, fasiyal sinir paralizisi yanısıra vestibülokoklear sinir tutulumu ile birlikte kulak içi veya etrafında herpetik veziküler erüpsiyon ve ağrı ile karakterizedir. Bununla birlikte nadir durumlarda 5, 9 ve 10. kraniyal sinirler de etkilenebilmektedir. 22 yaşındaki hodgkin lenfoma tanısı almış hasta, sağ kulak ağrısı, herpetik döküntü, baş dönmesi, kulak çınlaması, sensorinöral işitme kaybı ve akut fasiyal sinir paralizisi göstermekteydi. Hasta intravenöz asiklovir ve metilprednizolon ile tedavi edildi. Altı ay sonra fasiyal paralizi ve işitme kaybı tam olarak düzelmişti. Sonuç olarak fasiyal sinir ve diğer kraniyal sinirlere ait irreversibıl komplikasyonların önlenmesi açısından erken tanı ve tedavi önem taşımaktadır.
Ramsay Hunt Syndrome (RHS) is caused by infection of geniculate ganglion of the seventh cranial nerve by varicella-zoster virus. It is characterized by facial nerve paralysis, herpetic vesicular eruption in or around the ear and pain often associated with vestibulocochlear nerve involvement. However, on rare occasions V, IX and X cranial nerves could be affected as well. We present the case of a 22 year-old man with right auricular pain, preauricular herpetic eruption, vertigo, tinnitus, sensory neural hearing loss and acute facial nerve paralysis. He suffered from hodgkin lymphoma. He was treated with intravenous acyclovir and methylprednisolone. Six months later, his facial paralysis and hearing loss had fully resolved. As a result, early diagnosis and treatment are important as immediate treatment is more likely to prevent irreversible complications affecting the facial and other cranial nerves involved.
Ramsay Hunt Syndrome (RHS) is caused by infection of geniculate ganglion of the seventh cranial nerve by varicella-zoster virus. It is characterized by facial nerve paralysis, herpetic vesicular eruption in or around the ear and pain often associated with vestibulocochlear nerve involvement. However, on rare occasions V, IX and X cranial nerves could be affected as well. We present the case of a 22 year-old man with right auricular pain, preauricular herpetic eruption, vertigo, tinnitus, sensory neural hearing loss and acute facial nerve paralysis. He suffered from hodgkin lymphoma. He was treated with intravenous acyclovir and methylprednisolone. Six months later, his facial paralysis and hearing loss had fully resolved. As a result, early diagnosis and treatment are important as immediate treatment is more likely to prevent irreversible complications affecting the facial and other cranial nerves involved.
Açıklama
Anahtar Kelimeler
Dermatoloji
Kaynak
Türkderm-Deri Hastalıkları ve Frengi Arşivi
WoS Q Değeri
Scopus Q Değeri
Cilt
35
Sayı
3
