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KMID : 1201420180110010043
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Journal of Neurocritical Care
2018 Volume.11 No. 1 p.43 ~ p.46
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Zoster Laryngitis with Multiple Cranial Nerve Palsy Progressed as Ascending Involvement
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Hwang Woo-Sub
Jeong Da-Eun
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Abstract
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Background: Herpes zoster of the head and neck commonly presents with Ramsay Hunt syndrome. However, vesicular eruptions may occur on the pharyngeal or laryngeal area with multiple lower cranial-nerve (CN) palsy.
Case Report: We report on the case of a 54-year-old man with herpes zoster of the pharynx and larynx with multiple CN palsy and persistent hiccups. He initially developed progressive dysphagia, hoarseness, and persistent hiccups (CN IX and X). After admission, Dizziness, hearing impairment, and peripheral facial palsy (CN VII and VIII) were complicated. The results of a polymerase chain reaction test of saliva and vesicular fluid from the ear and throat were strongly positive for varicella zoster virus. The progression of CN palsy was in an ascending sequence.
Conclusions: We suggest that the sequence of CN palsy may be either ascending or descending, depending on the initial site of involvement.
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KEYWORD
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Herpes zoster, Cranial nerve diseases, Laryngitis, Hiccup
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