Petrositis in Ramsay Hunt Syndrome With Multiple Cranial Neuropathies

Vocal cord paralysis associated with Ramsay Hunt syndrome: looking back 50 years

“…With an extensive search of the literature dating back to 1960, only a small number of cases have been reported (table 1). 7–18 The rate of full recovery is found to be 67.7–82.9% in isolated RHS. However, when multiple cranial nerves are involved, the rate is as low as 27.3% 3.…”

Vocal cord paralysis associated with Ramsay Hunt syndrome: looking back 50 years

“…With an extensive search of the literature dating back to 1960, only a small number of cases have been reported (table 1). 7–18 The rate of full recovery is found to be 67.7–82.9% in isolated RHS. However, when multiple cranial nerves are involved, the rate is as low as 27.3% 3.…”

Ramsay Hunt Syndrome with Multiple Cranial Neuropathy in an Human Immunodeficiency Virus (HIV) Patient

“…This could be due to the spread of less intense inflammation from effected ganglion, which resolves rapidly. Espay and Bull described a similar progression in an 83-year-old female with HIV-negative status who initially presented with hearing impairment, hoarseness, dysphagia, and left-sided facial palsy, who then received treatment with acyclovir 800 mg, five times a day for 10 days, and showed moderate improvement in her ability to swallow; however, at her 120-day follow-up it was noted that other impairments continued [ 26 ]. Inclusion of multiple cranial nerves results in a more debilitating course, as was also the case with our patient.…”

Ramsay Hunt syndrome and zoster laryngitis with multiple cranial nerve involvement

“…Proposed mechanisms include VZV dissemination associated with diffuse lymphocytic infiltration along the course of the VII nerve beyond the geniculate ganglion [6] , the X nerve anatomic communication with the VII and VIII nerves [11] . It is also proposed that inflammatory spread along the vascular system may result in polyneuropathy [12] , [13] , since the nerves VIII, X, XI, and XII are supplied by the ascending pharyngeal artery [14] . Kiyokawa et al demonstrated various communications among nerve branches around the acoustic meatus and the auricle before reaching the central nervous system; the X nerve distributing to the posterior wall of the external acoustic meatus had communications with the VII nerve and the IX nerve [15] .…”

Vocal cord paralysis associated with Ramsay Hunt syndrome: looking back 50 years

“…With an extensive search of the literature dating back to 1960, only a small number of cases have been reported (table 1). 7–18 The rate of full recovery is found to be 67.7–82.9% in isolated RHS. However, when multiple cranial nerves are involved, the rate is as low as 27.3% 3.…”

Ramsay Hunt Syndrome with Multiple Cranial Neuropathy in an Human Immunodeficiency Virus (HIV) Patient

“…This could be due to the spread of less intense inflammation from effected ganglion, which resolves rapidly. Espay and Bull described a similar progression in an 83-year-old female with HIV-negative status who initially presented with hearing impairment, hoarseness, dysphagia, and left-sided facial palsy, who then received treatment with acyclovir 800 mg, five times a day for 10 days, and showed moderate improvement in her ability to swallow; however, at her 120-day follow-up it was noted that other impairments continued [ 26 ]. Inclusion of multiple cranial nerves results in a more debilitating course, as was also the case with our patient.…”

Ramsay Hunt syndrome and zoster laryngitis with multiple cranial nerve involvement

“…Proposed mechanisms include VZV dissemination associated with diffuse lymphocytic infiltration along the course of the VII nerve beyond the geniculate ganglion [6] , the X nerve anatomic communication with the VII and VIII nerves [11] . It is also proposed that inflammatory spread along the vascular system may result in polyneuropathy [12] , [13] , since the nerves VIII, X, XI, and XII are supplied by the ascending pharyngeal artery [14] . Kiyokawa et al demonstrated various communications among nerve branches around the acoustic meatus and the auricle before reaching the central nervous system; the X nerve distributing to the posterior wall of the external acoustic meatus had communications with the VII nerve and the IX nerve [15] .…”

Vocal cord paralysis associated with Ramsay Hunt syndrome: looking back 50 years

“…With an extensive search of the literature dating back to 1960, only a small number of cases have been reported (table 1). 7–18 The rate of full recovery is found to be 67.7–82.9% in isolated RHS. However, when multiple cranial nerves are involved, the rate is as low as 27.3% 3.…”

Ramsay Hunt Syndrome with Multiple Cranial Neuropathy in an Human Immunodeficiency Virus (HIV) Patient

“…This could be due to the spread of less intense inflammation from effected ganglion, which resolves rapidly. Espay and Bull described a similar progression in an 83-year-old female with HIV-negative status who initially presented with hearing impairment, hoarseness, dysphagia, and left-sided facial palsy, who then received treatment with acyclovir 800 mg, five times a day for 10 days, and showed moderate improvement in her ability to swallow; however, at her 120-day follow-up it was noted that other impairments continued [ 26 ]. Inclusion of multiple cranial nerves results in a more debilitating course, as was also the case with our patient.…”

Ramsay Hunt syndrome and zoster laryngitis with multiple cranial nerve involvement

“…Proposed mechanisms include VZV dissemination associated with diffuse lymphocytic infiltration along the course of the VII nerve beyond the geniculate ganglion [6] , the X nerve anatomic communication with the VII and VIII nerves [11] . It is also proposed that inflammatory spread along the vascular system may result in polyneuropathy [12] , [13] , since the nerves VIII, X, XI, and XII are supplied by the ascending pharyngeal artery [14] . Kiyokawa et al demonstrated various communications among nerve branches around the acoustic meatus and the auricle before reaching the central nervous system; the X nerve distributing to the posterior wall of the external acoustic meatus had communications with the VII nerve and the IX nerve [15] .…”