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KMID : 1034720170090010027
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Journal of Neurosonology and Neuroimaging
2017 Volume.9 No. 1 p.27 ~ p.29
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A Case of Ramsay Hunt Syndrome with Dysphagia
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Lee Hwa-Reung
Kim Kwang-Hyun
Han Sang-Won
Park Jae-Hyun
Baik Jong-Sam
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Abstract
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Ramsay-Hunt syndrome (RHS) is characterized by damage to the facial and vestibulocochlear nerves presenting facial weakness, inner ear dysfunction, periauricular pain, and vesicular rash. Simultaneous involvements of facial nerve and vestibulocochlear nerve are common but the involvement of other cranial nerves is extremely rare. A 58-year-old male presented with headache and fever for 4 days. The day after admission, erythematous vesicles accompanied by facial palsy, vertigo and dysphagia were developed at his left posterior auricle. A videofluoroscopic swallowing study conducted after 14 days of dysphagia onset showed laryngeal aspiration and moderate amounts of residue on the pyriform sinus. Gradual improvement of dysphagia was observed and normal swallowing was eventually enabled at 3 months after symptom onset. We report a patient with RHS who developed dysphagia due to multiple cranial nerve involvement including the glossopharyngeal nerve and vagus nerve.
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KEYWORD
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Dysphagia, Facial palsy, Ramsay hunt syndrome
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