South Clin Ist Euras. 2012; 23(3): 143-146 | DOI: 10.5505/jkartaltr.2012.76768

Kraniyal ve servikal dermatom tutulumlu Ramsay Hunt Sendromu olgusu

Fazilet Hýz, Dilek Bozkurt, Saffet Meral Çýnar, Meltem Can
Taksim Eðitim ve Araþtýrma Hastanesi, Nöroloji Kliniði, Ýstanbul

Ramsay Hunt Sendromu (RHS) (Herpes zoster otikus), varisella zoster virusunun tekrarlayan aktivasyonu ile geliþen bir kraniyal polinöropatidir. Sýklýk sýrasýna göre 7., 8., 9., 5.,10., 6. kraniyal ve servikal sinir tutulumlarý görülebilir. Bu sendromda 7. kraniyal sinir tutulumu, tüm fasiyal paralizili olgularýn %3-12’sini oluþturur. Tanýsý kulak aðrýsý, kulak kepçesi çevresinde veziküler döküntü ve sekel býrakan fasiyal paralizi ile konur. Bu nedenle baþ ve boyun bölgesindeki deri lezyonlarý, RHS ve ona baðlý geliþebilecek nörolojik semptomlar düþünülerek yakýn takibe alýnmalýdýr. Altmýþ beþ yaþýndaki erkek olgu, sað fasiyal paralizi, ayný taraf baþ yarýsýnda ve boyunda herpetik aðrýlý veziküller nedeni ile RHS tanýsý aldý. Olgumuz, bu sendromda servikal dermatom etkilenmesinin nadir olmasý ve prognozu açýsýndan tartýþýldý.

Anahtar Kelimeler: Ramsay Hunt Sendromu, üst servikal dermatomlar, vezikül, yüz felci

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Ramsay Hunt Syndrome with cranial and cervical dermatomal involvement: Case report

Fazilet Hýz, Dilek Bozkurt, Saffet Meral Çýnar, Meltem Can
Taksim Training and Research Hospital, Department of Neurology, Ýstanbul, Turkey

Ramsay Hunt Syndrome (RHS) (Herpes zoster oticus) is a cranial polyneuropathy which is caused by the reactivation of varisella zoster virus. Respectively 7, 8, 9, 5, 10, and 6 cranial nerves and the servical nerves are involved. In this syndrome, 7 cranial nerve involvement constitutes 3-12% of all facial paralysis patients. Diagnosis depends on determining the ear pain, vesiculer rush around the earlap, and facial paralysis caused sequelae. Due to skin lesions on the head and neck region and neurological symptoms, RHS was suspected. Early treatment may effect prognosis. A 65-year-old individual, with right facial paralysis and painfull ipsilateral herpetic vesicules on one side of the head and neck has been diagnosed RHS. The case has been discussed for the purpose of determining prognosis because servical dermatome involvement is rare in RHS.

Keywords: Ramsay Hunt Syndrome, upper cervical dermatomes, vesicle, facial palsy

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