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KMID : 1235520200190010016
Research in Vestibular Science
2020 Volume.19 No. 1 p.16 ~ p.21
Atypical Presentation of Acute Vestibular Syndrome with Ramsay Hunt Syndrome
Kang Bong-Hui

Lee Yong-Woo
Kim Jae-Il
Abstract
Ramsay Hunt syndrome is an acquired paralysis of the face specifically caused by a varicella-zoster virus infection in the facial nerve. Other cranial nerves including vestibulo-cochlear disturbance can be affected. Herein we reported a case of Ramsay Hunt syndrome with atypical vestibular syndrome. Although central vestibular signs including direction changing post head-shaking nystagmus or normal head impulse test are generally meaningful, clinicians need to be careful to interpret them because some findings can be observed not only in cases of central disorders but also in peripheral disorders. Clinical findings such as distinct ear pain and close observation of vesicles are important to diagnose Ramsay Hunt syndrome.
KEYWORD
Ramsay Hunt syndrome, Varicella-zoster virus infection, Acute peripheral vestibulopathy, Direction changing head-shaking nystagmus
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