DOI QR코드

DOI QR Code

A Case of Ramsay-Hunt Syndrome Showing Continual Improvement after 3 Months of Onset

발병 3개월 이후에도 지속적으로 호전을 보인 람세이헌트 증후군 1례

  • Yoon-Young Choi (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University) ;
  • Jung-Ah Byun (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University) ;
  • Jong-Chan Baek (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University) ;
  • Seo-Hee Kim (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University) ;
  • Hyun-A Jung (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Daejeon University)
  • 최윤영 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 변정아 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 백종찬 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 김서희 (대전대학교 한의과대학 한방안이비인후피부과교실) ;
  • 정현아 (대전대학교 한의과대학 한방안이비인후피부과교실)
  • Received : 2023.07.06
  • Accepted : 2023.08.04
  • Published : 2023.08.25

Abstract

Objectives : The purpose of this study is to report a case of Ramsay-Hunt Syndrome showing continual improvement after 3 months of onset. Methods : This study was conducted with Ramsay-Hunt Syndrome patient who hospitalized in Ophthalmology, Otolaryngology & Dermatology Clinic of Korean medical hospital. The patient was treated with Korean medical treatment including Ligigeopoong-san Gagam, acupuncture, pharmacopuncture (Hwangryunhaedok-tang) and the other physics therapy. After treatment, we evaluated subjective symptoms, Yanagihara scale and H-B Grade. Results : As a result, the patient continued to improve even after 3 months after the onset, and showed complete recovery and significant improvement in subjective symptoms after treatment. Conclusions : It is considered that Korean medical treatment can be applied to the treatment of Ramsay-Hunt Syndrome.

Keywords

References

  1. Park SY. Herpes Zoster Oticus. Korean J Otolaryngol-Head Neck Surg. 2014;57(2):78-83. https://doi.org/10.3342/kjorl-hns.2014.57.2.78
  2. Dickins JR, Smith JT, Graham SS. Herpes zoster oticus: Treatment with intravenous acyclovir. The Laryngoscope. 1988;98(7):776-9. https://doi.org/10.1288/00005537-198807000-00019
  3. Hohman MH, Hadlock TA. Etiology, diagnosis, and management of facial palsy: 2000 patients at a facial nerve center. The Laryngoscope. 2014;124(7):283-93. https://doi.org/10.1002/lary.24223
  4. Robillard RB, Hilsinger RL, Adour KK. Ramsay Hunt facial paralysis: Clinical analyses of 185 patients. Otolaryngology-Head and Neck Surgery. 1986;95(3Pt1):292-7. https://doi.org/10.1177/01945998860953P105
  5. Burke BL, Steele RW, Beard OW, Wood JS, Cain TD, Marmer DJ. Immune responses to varicella-zoster in the aged. Arch Intern Med. 1982;142(2):291-3. https://doi.org/10.1001/archinte.1982.00340150091016
  6. Sweeny CJ, Gilden DH. Ramsay hunt syndrome. Journal of Neurology, Neurosurgery & Psychiatry. 2001;71(2):149-54. https://doi.org/10.1136/jnnp.71.2.149
  7. Bai CH, Lee SC, Choi YH, Chen SM, Baek UH, Jung EC, et al. A Study for the Effect of Stellate Ganglion Block on Herpes Zoster Oticus. Korean J Otolaryngol-Head Neck Surg. 2006;49(11):1065-70.
  8. Kwon K, Park YH. Two case studies of Ramsay-Hunt syndrome. J Korean Med Ophthalmol Otolaryngol Dermatol. 2001;14(2):183-93.
  9. Hunt JR. On herpetic inflammations of the geniculate ganglion: a new syndrome and its complications. J Nerv Ment Dis. 1907;34(2):73-96. https://doi.org/10.1097/00005053-190702000-00001
  10. Coulson S, Croxson GR, Adams R, Oey V. Prognostic factors in herpes zoster oticus (ramsay hunt syndrome). Otol Neurotol. 2011;32(6):1025-30. https://doi.org/10.1097/MAO.0b013e3182255727
  11. Byun H, Cho YS, Jang JY, Chung KW, Hwang S, Chung WH, et al. Value of electroneurography as a prognostic indicatorfor recovery in acute severe inflammatory facial paralysis:a prospective study of Bell's palsy and Ramsay Hunt syndrome. Laryngoscope. 2013;123(10):2526-32. https://doi.org/10.1002/lary.23988
  12. Deveries PP. Facial paralysis in cephalic herpes zoster. Ann otol rhinol larynngol. 1968;77(6):1101-19. https://doi.org/10.1177/000348946807700609
  13. Kim DJ, Kim JG, Kim JH. The Prognostic Factors of the Facial Nerve Paralysis in Herps Zoster Oticus. Korean J OtolaryngolHead Neck Surg. 1992;35(2):286-93.
  14. Kim HC, Kim JH, Kim YI. A Comparative Study on Improvement of Bell's Palsy and Ramsay Hunt Syndrome According to Treatment Duration. Journal of Acupuncture Research. 2008;25(4):31-9.
  15. Kang MS, Kim MH, Choi IH. Trends of Korean Medicine Treatment for the Acute Stage of Herpes Zoster. J Korean Med Ophthalmol Otolaryngol Dermatol. 2020;33(1):56-74.
  16. Lee HJ, Kim JH, Choi JH, Park SY. Effects of Oral Administration of Ligigeopoongsan on Neuropathic Pain anc c-Fos ProteinExpression in Rats. J Korean Med Ophthalmol Otolaryngol Dermatol. 2005;18(1):50-60.
  17. Kim DH, Park SJ, Jung JY. Anti-inflammatory effects of the aqueous extract of hwangnyeonhaedok-tang in LPS-activated macrophage cells. Kor J Herbol. 2009;24(4):39-47.
  18. Kim KH, Do HJ, Oh TW, Kim KY, Kim TH, Ma JY, et al. Antiplatelet and Antithrombotic Activity of a Traditional Medicine, Hwangryunhaedok-Tang. Front Pharmacol. 2019;9:1-11. https://doi.org/10.3389/fphar.2018.01502
  19. Kim YJ, Lee EJ, Cho JS, Yi CH. Effects of acupuncture-like transcutaneous electrical nerve stimulation and silver spike point therapy on pressure pain sensitivity. Physical Therapy Korea. 1995;2(2):66-72.
  20. Peitersen E. Bell's palsy: The spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta oto-laryngologica. 2002;122(7):4-30. https://doi.org/10.1080/000164802760370736