19
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Manifestaciones clínicas del Síndrome de Ramsay-Hunt en una serie de 20 casos Translated title: Clinical manifestations of Ramsay-Hunt Syndrome in a series of 20 cases

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          RESUMEN Introducción y objetivo: la experiencia clínica nos ha mostrado las distintas formas de presentación y la variabilidad sintomatológica que puede revelar el síndrome de Ramsay-Hunt o herpes zóster ótico. Las descripciones que ofrece la literatura nos han servido para corroborar los hallazgos de un conjunto de pacientes, cuyas características y evolución hemos ido reuniendo en el tiempo. Dada la importancia del tratamiento precoz, el objetivo de este trabajo ha consistido en realizar una exposición estructurada de este complejo síndrome con sus diversas manifestaciones. Método: Estudio retrospectivo. Resultados: 20 pacientes ejemplifican los diferentes aspectos de este proceso. Discusión: Se trata de una patología infrecuente, con una tríada sintomática patognomónica que consiste en otalgia, erupción vesicular y parálisis facial. Sin embargo, este síndrome no siempre se expresa de forma completa ni con la aparición de los síntomas en el orden indicado, añadiéndose con frecuencia otros cocleovestibulares. La posibilidad de que la infección se propague de forma centrífuga y centrípeta facilita el que se afecten otros nervios sensitivos y motores, ocasionando una polineuropatía craneal (herpes zóster cefálico) y raquídea o incluso, con mucha menor frecuencia, la aparición de una meningoencefalitis. No conocemos con precisión los mecanismos por los que progresa este proceso ni los factores desencadenantes, aunque en ocasiones les haya predisponentes. Establecer un diagnóstico es fundamental para iniciar el tratamiento, cuya precocidad facilita la resolución del proceso. Conclusiones: Siendo la sospecha clínica la principal herramienta de un diagnóstico precoz, nos ha parecido de interés realizar esta revisión, dada la infrecuencia del herpes zóster ótico.

          Translated abstract

          ABSTRACT Introduction and objective: Clinical experience has shown us the different forms of presentation and the symptomatic variability that can be revealed by Ramsay-Hunt Syndrome or Herpes Zoster oticus. The descriptions offered by the literature have helped us to corroborate the findings of a group of patients, whose characteristics and evolution we have been gathering over time. Given the importance of early treatment, the objective of this work has been to carry out a structured exposition of this complex syndrome with its various manifestations. Method: Retrospective study. Results: 20 patients exemplify the different aspects of this process. Discussion: It is an infrequent pathology, with a pathognomonic symptomatic triad consisting of ear pain, vesicular rash and facial paralysis. However, this syndrome is not always fully expressed or with the onset of symptoms in the order indicated, often adding cochleovestibular symptoms. The possibility that the infection spreading in a centrifugal and centripetal way, makes it easier for other sensory and motor nerves to be affected, causing cranial polyneuropathy (cephalic herpes zoster) and spinal or even, much less frequently, the appearance of a meningoencephalitis. The mechanisms by which this process progresses, or the triggers are not known with precision, although sometimes there are predisposing factors. Establishing a diagnosis is essential to start the treatment, whose precocity facilitates the resolution of the process. Conclusions: Being the clinical suspicion the main tool of an early diagnosis, we have found it interesting to carry out this review, given the low frequency of herpes zoster oticus.

          Related collections

          Most cited references82

          • Record: found
          • Abstract: found
          • Article: not found

          Varicella zoster virus infection: clinical features, molecular pathogenesis of disease, and latency.

          Varicella zoster virus (VZV) is an exclusively human neurotropic alphaherpesvirus. Primary infection causes varicella (chickenpox), after which virus becomes latent in cranial nerve ganglia, dorsal root ganglia, and autonomic ganglia along the entire neuraxis. Years later, in association with a decline in cell-mediated immunity in elderly and immunocompromised individuals, VZV reactivates and causes a wide range of neurologic disease. This article discusses the clinical manifestations, treatment, and prevention of VZV infection and reactivation; pathogenesis of VZV infection; and current research focusing on VZV latency, reactivation, and animal models.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Clinical practice. Bell's Palsy.

            D H Gilden (2004)
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Etiology, diagnosis, and management of facial palsy: 2000 patients at a facial nerve center.

              To evaluate the range and incidence of facial palsy etiologies in cases presenting to a tertiary facial nerve center, and to review the broad and evolving spectrum of diagnostic and management approaches to the condition.
                Bookmark

                Author and article information

                Journal
                orl
                Revista ORL
                Rev. ORL
                Ediciones Universidad de Salamanca (Salamanca, Salamanca, Spain )
                2444-7986
                March 2021
                : 12
                : 1
                : 3-17
                Affiliations
                [1] Valladolid orgnameHospital Clínico Universitario de Valladolid orgdiv1Servicio de Otorrinolaringología España
                Article
                S2444-79862021000100002 S2444-7986(21)01200100002
                10.14201/orl.22750
                65e9b2e8-02af-4209-9fcd-e0d02a638bd3

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 07 April 2020
                : 23 March 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 82, Pages: 15
                Product

                SciELO Spain

                Categories
                Artículo original

                varicella-zoster virus,virus varicela-zóster,herpes zoster oticus,Ramsay-Hunt syndrome,encefalitis,facial paralysis,polineuropatía craneal,cranial polyneuropathy,parálisis facial,herpes zóster ótico,síndrome de Ramsay-Hunt,encephalitis

                Comments

                Comment on this article