Prognosis of ramsay hunt syndrome presenting as cranial polyneuropathy

Young Ho Kim, Moon Young Chang, Hak Hyun Jung, Yong Soo Park, Seung Hwan Lee, Jun Ho Lee, Seung Ha Oh, Sun O. Chang, Ja Won Koo

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objectives/Hypothesis: Ramsay Hunt syndrome is known to be accompanied with cranial polyneuropathy very occasionally. We reviewed our experience to analyze the clinical manifestations and prognosis of these cases. Study Design: Retrospective review. Methods: Eleven patients with Ramsay Hunt syndrome presenting as cranial polyneuropathy between 1999 and 2009 were included in this study retrospectively. All patients were treated with systemic steroids and antiviral agents. Assessment of recovery from facial nerve palsy (FNP) using the House-Brackmann (HB) grading system was performed, and the follow-up period was 4 to 28 months. Results: The patient numbers for the initial degree of FNP were five for HB grade II, one for grade III, two for grade IV, and three for grade V. The cochleovestibular nerve was involved in 10 cases, and hearing loss was observed in nine patients. Other involved cranial nerves were IX in seven cases, X in five cases, V in three cases, and III/XII in one case each. Antiviral agents and steroids were administered within 3 days after the onset of symptoms for about 1 to 2 weeks in most cases. After the treatment the degree of FNP improved to HB grade I or II in nine of 11 patients (81.8%). Symptoms of other cranial nerves also improved in most patients, whereas recovery for hearing loss showed poor results. Conclusions: Ramsay Hunt syndrome associated with cranial polyneuropathy has a good prognosis for FNP and other cranial nerve palsies with a combination therapy of antiviral agents and steroids, but not for recovery of hearing loss.

Original languageEnglish
Pages (from-to)2270-2276
Number of pages7
JournalLaryngoscope
Volume120
Issue number11
DOIs
Publication statusPublished - 2010 Nov 1

Fingerprint

Herpes Zoster Oticus
Polyneuropathies
Facial Paralysis
Facial Nerve
Hearing Loss
Antiviral Agents
Steroids
Vestibulocochlear Nerve
Glossopharyngeal Nerve
Cranial Nerve Diseases
Cranial Nerves
Retrospective Studies
Therapeutics

Keywords

  • cranial polyneuropathy
  • Ramsay Hunt syndrome
  • steroid

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Kim, Y. H., Chang, M. Y., Jung, H. H., Park, Y. S., Lee, S. H., Lee, J. H., ... Koo, J. W. (2010). Prognosis of ramsay hunt syndrome presenting as cranial polyneuropathy. Laryngoscope, 120(11), 2270-2276. https://doi.org/10.1002/lary.21108

Prognosis of ramsay hunt syndrome presenting as cranial polyneuropathy. / Kim, Young Ho; Chang, Moon Young; Jung, Hak Hyun; Park, Yong Soo; Lee, Seung Hwan; Lee, Jun Ho; Oh, Seung Ha; Chang, Sun O.; Koo, Ja Won.

In: Laryngoscope, Vol. 120, No. 11, 01.11.2010, p. 2270-2276.

Research output: Contribution to journalArticle

Kim, YH, Chang, MY, Jung, HH, Park, YS, Lee, SH, Lee, JH, Oh, SH, Chang, SO & Koo, JW 2010, 'Prognosis of ramsay hunt syndrome presenting as cranial polyneuropathy', Laryngoscope, vol. 120, no. 11, pp. 2270-2276. https://doi.org/10.1002/lary.21108
Kim, Young Ho ; Chang, Moon Young ; Jung, Hak Hyun ; Park, Yong Soo ; Lee, Seung Hwan ; Lee, Jun Ho ; Oh, Seung Ha ; Chang, Sun O. ; Koo, Ja Won. / Prognosis of ramsay hunt syndrome presenting as cranial polyneuropathy. In: Laryngoscope. 2010 ; Vol. 120, No. 11. pp. 2270-2276.
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