A rare complication of Ramsey Hunt Syndrome: Sınus vein thrombosis

Ramsay-Hunt Syndrome (RHS) is a rare affection characterized by peripheral facial paralysis (PFP), skin eruption in the auricular canal and cochleovestibular symptoms. It is produced by varicella-zoster virus(VZV) reactivation at the geniculate ganglia. In elderly and immunocompromised individuals,...

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Main Authors: Ramiz Ahmedov, Fatma Polat, Neşe Çelebisoy
Format: Article
Language:English
Published: Galenos Yayinevi 2011-03-01
Series:Türk Nöroloji Dergisi
Subjects:
Online Access:http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-71363&look4=
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author Ramiz Ahmedov
Fatma Polat
Neşe Çelebisoy
author_facet Ramiz Ahmedov
Fatma Polat
Neşe Çelebisoy
author_sort Ramiz Ahmedov
collection DOAJ
description Ramsay-Hunt Syndrome (RHS) is a rare affection characterized by peripheral facial paralysis (PFP), skin eruption in the auricular canal and cochleovestibular symptoms. It is produced by varicella-zoster virus(VZV) reactivation at the geniculate ganglia. In elderly and immunocompromised individuals, the virus may reactivate to produce shingles (zoster). After zoster resolves, many elderly patients experience postherpetic neuralgia. Uncommonly, VZV can spread to large cerebral arteries to cause a spectrum of large-vessel vascular damage, ranging from vasculopathy to vasculitis, with stroke. In immunocompromised individuals, especially those with cancer or acquired immunodeficiency syndrome, deeper tissue penetration of the virus may occur (as compared with immunocompetent individuals), with resultant myelitis, small-vessel vasculopathy, ventriculitis, and meningoencephalitis. The polymerase chain reaction (PCR) analysis of cerebrospinal fluid remains the mainstay for diagnosing the neurologic complications of VZV during life. We report a case of Ramsay Hunt syndrome complicated with cerebral venous thrombosis. Patient received treatment with acyclovir and anticoagulation. Early treatment with acyclovir therapy and anticoagulation could improve the recovery rate of facial nerve palsy and sinus vein thrombosis.
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spelling doaj.art-bfb35fb908794693ad435ca1df7eaabf2023-02-15T16:21:10ZengGalenos YayineviTürk Nöroloji Dergisi1301-062X2011-03-011715861A rare complication of Ramsey Hunt Syndrome: Sınus vein thrombosisRamiz Ahmedov0Fatma Polat1Neşe Çelebisoy2Department Of Neurosurgery, Ege University, İzmir, TurkeyDeparment Of Neurology, Ege University, İzmir, TurkeyDeparment Of Neurology, Ege University, İzmir, TurkeyRamsay-Hunt Syndrome (RHS) is a rare affection characterized by peripheral facial paralysis (PFP), skin eruption in the auricular canal and cochleovestibular symptoms. It is produced by varicella-zoster virus(VZV) reactivation at the geniculate ganglia. In elderly and immunocompromised individuals, the virus may reactivate to produce shingles (zoster). After zoster resolves, many elderly patients experience postherpetic neuralgia. Uncommonly, VZV can spread to large cerebral arteries to cause a spectrum of large-vessel vascular damage, ranging from vasculopathy to vasculitis, with stroke. In immunocompromised individuals, especially those with cancer or acquired immunodeficiency syndrome, deeper tissue penetration of the virus may occur (as compared with immunocompetent individuals), with resultant myelitis, small-vessel vasculopathy, ventriculitis, and meningoencephalitis. The polymerase chain reaction (PCR) analysis of cerebrospinal fluid remains the mainstay for diagnosing the neurologic complications of VZV during life. We report a case of Ramsay Hunt syndrome complicated with cerebral venous thrombosis. Patient received treatment with acyclovir and anticoagulation. Early treatment with acyclovir therapy and anticoagulation could improve the recovery rate of facial nerve palsy and sinus vein thrombosis.http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-71363&look4=Varicella Zoster VirusRamsay Hunt Syndromesınus veın thrombosis
spellingShingle Ramiz Ahmedov
Fatma Polat
Neşe Çelebisoy
A rare complication of Ramsey Hunt Syndrome: Sınus vein thrombosis
Türk Nöroloji Dergisi
Varicella Zoster Virus
Ramsay Hunt Syndrome
sınus veın thrombosis
title A rare complication of Ramsey Hunt Syndrome: Sınus vein thrombosis
title_full A rare complication of Ramsey Hunt Syndrome: Sınus vein thrombosis
title_fullStr A rare complication of Ramsey Hunt Syndrome: Sınus vein thrombosis
title_full_unstemmed A rare complication of Ramsey Hunt Syndrome: Sınus vein thrombosis
title_short A rare complication of Ramsey Hunt Syndrome: Sınus vein thrombosis
title_sort rare complication of ramsey hunt syndrome sinus vein thrombosis
topic Varicella Zoster Virus
Ramsay Hunt Syndrome
sınus veın thrombosis
url http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-71363&look4=
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AT ramizahmedov rarecomplicationoframseyhuntsyndromesınusveinthrombosis
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