title: Ramsay Hunt syndrome with severe dysphagia.
abstract: Ramsay Hunt syndrome, first described by J. Ramsay Hunt in 1907, encompassed the symptoms of otalgia, erythematous vesicular rash on the auricle, and facial paralysis. Although rare, in some cases, the varicella zoster virus responsible for the illness can also be associated with involvement of cranial nerves III-XII, cervical nerves, aseptic meningitis, and the syndrome of inappropriate secretion of antidiuretic hormone. We present a case of a patient with clinical evidence of Ramsay Hunt syndrome involving the cranial nerves V, VII, VIII, X, and, possibly, XII. Pharyngeal wall and vocal fold paralysis, and severely reduced laryngeal elevation, resulted in such significant dysphagia that percutaneous endoscopic gastrostomy tube placement was required.
authors.affiliation: Department of Otolaryngology, POH Regional Medical Center, Pontiac, Michigan 48342, USA. osteofight25@yahoo.com
authors.forename: Crystal
authors.initials: C
authors.lastname: Coleman
authors.forename: Michael
authors.initials: M
authors.lastname: Fozo
authors.forename: Adam
authors.initials: A
authors.lastname: Rubin
mesh_terms: D000369:Aged, 80 and over; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004945:Esophagoscopy; D005158:Facial Paralysis / Q000150:complications* / Q000175:diagnosis; D005260:Female; D016697:Herpes Zoster Oticus / Q000150:complications* / Q000175:diagnosis; D006801:Humans