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Ramsay Hunt syndrome with cranial polyneuropathy

1 Department of ENT, Lifecare Hospital, Abu Dhabi, UAE
2 Department of General Medicine, Government Medical College and Hospital, Chandigarh, India
3 School of Medical Science and Research, Sharda University, Greater Noida, Uttar Pradesh, India

Correspondence Address:
Monica Gupta,
Department of General Medicine, Government Medical College and Hospital, Sector 32, Chandigarh - 160 030
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjhs.mjhs_88_22

Unilateral facial nerve palsy and vestibulocochlear neuropathy due to herpes zoster are named Ramsay Hunt syndrome (RHS). Rarely, this infection may affect multiple cranial nerves concurrently. Through this report, we are describing a case of RHS, where the VII, VIII, IX, and X cranial nerves were involved simultaneously. This 65-year-old man presented with right lower motor neuron facial nerve palsy, hoarseness, dysphagia, hearing deficit, and vertigo following painful vesicular eruptions on his right ear. Systemic corticosteroids and antiviral agents were administered, subsequent to which the patient improved with the resolution of all the symptoms and signs.

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