title: Ramsay Hunt syndrome and zoster laryngitis with multiple cranial nerve involvement.
abstract: Ramsay Hunt syndrome is characterized by varicella zoster virus infection affecting the geniculate ganglion of the facial nerve. It typically presents with vesicles in the external auditory canal associated with auricular pain and peripheral facial nerve paralysis. Although vestibulocochlear nerve is frequently co-involved during the course of Ramsay Hunt syndrome, multiple lower cranial nerve involvement has rarely been described in the literature. In addition, laryngitis due to varicella zoster virus is a diagnostic challenge due to its unfamiliarity among clinicians. We report a case of Ramsay Hunt syndrome with laryngitis involving multiple lower cranial nerves.
authors.affiliation: Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, 1301 Medical Center Drive, Nashville, TN 37232, USA.
authors.forename: Takashi
authors.initials: T
authors.lastname: Shinha
authors.affiliation: Department of Medicine, Long Island College Hospital, 339 Hicks Street, Brooklyn, NY 11201, USA.
authors.forename: Pasala
authors.initials: P
authors.lastname: Krishna
keywords: Laryngitis; Polyneuropathy; Ramsay Hunt syndrome