Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)
- Volume 16 Issue 1
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- Pages.81-84
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- 2005
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- 2508-268X(pISSN)
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- 2508-5603(eISSN)
Isolated Vagus Nerve Involvement of Herpes Infection with Delayed Vocal Fold Paralysis
지연성 성대 마비를 동반한 미주신경에 국한된 Herpes 감염
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Kwon, Tack-Kyun
(Department of Otolaryngology, Seoul National University, Bundang Hospital)
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권택균
(서울대학교 의과대학 이비인후과학교실, 분당서울대병원)
- Published : 2005.06.01
Abstract
Vagus nerve palsy caused by herpes virus infection is rare. Here, the author presents a 65-year-old woman with acute onset of right side otalgia and sore throat, followed by delayed vocal fold paralysis on the same side. Vesicles were also found on the posterior wall of ear canal but the tympanic membrane was not involved. Laryngoscopy revealed multiple ulcerative lesions on the pharyngeal and laryngeal mucosa exclusively on the right side. One month later, she noticed dyshonia which turned out right vocal fold paralysis. Skull base to upper chest CT did not reveal local lesion. Three months after finishing the acyclovir, her symptoms were almost gone and vocal fold movement has almost completely improved. Vagus nerve involvement of herpes infection should be considered as a differential diagnosis for patients with herpes zoster oticus with sore throat.