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A case study of Ramsay Hunt Syndrome in conjunction with cranial polyneuritis.

Abstract Ramsay Hunt syndrome in conjunction with cranial polyneuritis is not extensively documented, and is very easily misdiagnosed.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29381990
OWN - NLM
STAT- MEDLINE
DCOM- 20180209
LR  - 20180209
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 47
DP  - 2017 Nov
TI  - A case study of Ramsay Hunt Syndrome in conjunction with cranial polyneuritis.
PG  - e8833
LID - 10.1097/MD.0000000000008833 [doi]
AB  - RATIONALE: Ramsay Hunt syndrome in conjunction with cranial polyneuritis is not
      extensively documented, and is very easily misdiagnosed. PATIENT CONCERNS: A case
      of a 53-year-old male with Ramsay Hunt syndrome in conjunction with cranial
      polyneuritis is presented with early symptoms of vertigo, cephalalgia, and facial
      palsy, followed by zoster oticus 10 days later. DIAGNOSES: Diagnosis was
      challenging as this condition presents with multiple neuropathies, and attempting
      to diagnose based on clinical symptoms was often misleading. Polymerase chain
      reaction can be used to test for presence of the virus in the cerebrospinal
      fluid, followed by targeted drug therapy. INTERVENTIONS: Acupuncture, in
      conjunction with fire cupping, bloodletting around the afflicted region on the
      face, as well as oral consumption of herbal medicine and vitamins for nerve
      nourishment was given to treat this disease. OUTCOMES: Due to misdiagnosis
      resulting in delayed treatment, peripheral facial paralysis was left as the main 
      sequelae, while other symptoms responded quickly to treatment. After a 6-month
      follow-up, facial palsy was still present. LESSONS: Considering that targeted
      antiviral therapy can be used to increase the effectiveness of treatment, early
      diagnosis, and timely use of medication is critical.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Zheng, Ru-Wen
AU  - Zheng RW
AD  - Department of Acupuncture and Moxibustion, Dongfang Hospital, The Second
      Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
FAU - Liu, Di
AU  - Liu D
AD  - Department of Acupuncture and Moxibustion, Dongfang Hospital, The Second
      Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
FAU - Eric, Tay E
AU  - Eric TE
AD  - Singapore Chung Hwa Medical Institution, Singapore.
FAU - Ning, Yan-Zhe
AU  - Ning YZ
AD  - Beijing Anding Hospital, Affiliated to Capital Medical University.
FAU - Chen, Lu-Lu
AU  - Chen LL
AD  - Department of Acupuncture and Moxibustion, Dongfang Hospital, The Second
      Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
FAU - Hu, Hui
AU  - Hu H
AD  - Department of Acupuncture and Moxibustion, Dongfang Hospital, The Second
      Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
FAU - Ren, Yi
AU  - Ren Y
AD  - Department of Neurology, Dongzhimen Hospital, The First Affiliated Hospital of
      Beijing University of Chinese Medicine, Beijing, China.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Antiviral Agents)
SB  - AIM
SB  - IM
MH  - Antiviral Agents/therapeutic use
MH  - Cranial Nerve Diseases/*diagnosis/virology
MH  - Diagnostic Errors/*adverse effects
MH  - Facial Paralysis/diagnosis/virology
MH  - Headache/diagnosis/virology
MH  - Herpes Zoster Oticus/*diagnosis/virology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Neuritis/*diagnosis/virology
MH  - Vertigo/diagnosis/virology
PMC - PMC5708989
EDAT- 2018/02/01 06:00
MHDA- 2018/02/10 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/10 06:00 [medline]
AID - 10.1097/MD.0000000000008833 [doi]
AID - 00005792-201711270-00081 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Nov;96(47):e8833. doi: 10.1097/MD.0000000000008833.