The Korean Journal of Pain

  • 제21권3호
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  • Pages.237-240
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  • 2008
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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삼차신경절 침범으로 생각되어진 Ramsay Hunt Syndrome 환자의 치료 증례 -증례보고-

Treatment of Ramsay Hunt Syndrome That is Mistaken for Trigeminal Herpes Zoster -A case report-

  • 박종민 (가톨릭대학교 의과대학 대전성모병원 마취통증의학교실) ;
  • 유승준 (가톨릭대학교 의과대학 대전성모병원 마취통증의학교실) ;
  • 박아름 (가톨릭대학교 의과대학 대전성모병원 마취통증의학교실) ;
  • 이상묵 (가톨릭대학교 의과대학 대전성모병원 마취통증의학교실)
  • Park, Jong Min (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University College of Medicine) ;
  • Yu, Sung Jun (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University College of Medicine) ;
  • Park, Ah Reum (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University College of Medicine) ;
  • Lee, Sang Mook (Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, The Catholic University College of Medicine)
  • 투고 : 2008.10.01
  • 심사 : 2008.10.23
  • 발행 : 2008.12.30
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초록

Ramsay Hunt syndrome is a disorder characterized by herpetic eruptions on the auricle, facial paralysis, and vestibulocochlear dysfunction, and is attributed to varicella zoster virus infection in the geniculate ganglion. Ramsay Hunt syndrome accounts for about 10% cases of facial palsy. We report a 46-year-old healthy man developed left side skin vesicles on the face with severe pain. We thought of the trigeminal herpes zoster. He was treated with intravenous acyclovir, and stellate ganglion block daily. Four days later, brain magnetic resonance imaging revealed small areas of enhancement in the seventh cranial nerve and eighth cranial nerve, not in the fifth cranial nerve. Eight days later, the left facial palsy was come. We confirmed him as Ramsay Hunt syndrome. We started steroid therapy immediately. He recovered completely a month later. The patient was improved through the early antiviral therapy, steroid medication and stellate ganglion block.

키워드

참고문헌

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피인용 문헌

  1. Superficial cervical plexus block for management of herpes zoster neuralgia in the C3 dermatome: a case report vol.8, pp.1, 2014, https://doi.org/10.1186/1752-1947-8-59