Manifestaciones clínicas del síndrome de Ramsay-Hunt en una serie de 20 casos

Abstract

Conflicto de intereses: Los autores declaran no tener conflictos de intereses Imágenes: Los autores declaran haber obtenido las imágenes con el permiso de los pacientes Política de derechos y autoarchivo: se permite el autoarchivo de la versión post-print (SHERPA/RoMEO) Licencia CC BY-NC-ND. Licencia Creative Commons Atribución-NoComercial-SinDerivar 4.0 Internacional Universidad de Salamanca. Su comercialización está sujeta al permiso del editor MANIFESTACIONES CLÍNICAS DEL SÍNDROME DE RAMSAY-HUNT EN UNA SERIE DE 20 CASOS RAMÍREZ-SALAS JE ET AL.

Ramsay- hunt syndrome: another presentation of the herpes zoster

“…The polyneuropathic syndrome has a worse prognosis and only 27% reach total recovery, compared to 67% of those who suffer polyneuropathy. 9 Processes in the central nervous system with vascular involvement can be found in patients, among these vasculitis granulomatous angeitis of large vessels that can simulate an acute stroke and accompanied by late contralateral hemiparesis, since it occurs a week after the episode of herpes Zoster. 10 Its diagnosis is clinical, clinical history and clinical examination, verify the classic triad: otic pain 50% of cases, facial paralysis in 20%, herpetic lesions in 2% if it is only facial paralysis determine if it is central (supranuclear) or peripheral (infranuclear), in the evolution request that the patient performs opening and ocular, and smile.…”

“…Among the dementia diagnoses, peripheral or Bell's palsy, acoustic neurinomas, parotid neoplasms, and fractures of the cuspid bone. 1,9,10 Regarding treatment, the best regimen is analyzed in combination of antiretroviral drugs and corticoids, where Wagner demonstrated in a group of 91 patients with combined treatment and another group of 47 exclusively corticoids, in the first group he could demonstrate that 68 patients (75%), presented improvement of nerve sensitivity, compared to 25 patients (53%) of the second group.…”