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Journal of Neurosonology 2017;9(1):27-29.
Published online November 30, 2017.
A Case of Ramsay Hunt Syndrome with Dysphagia
Hwa Reung Lee, Kwanghyun Kim, Sang Won Han, Jae Hyun Park, Jong Sam Baik
Department of Neurology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
연하곤란을 동반한 람세이 헌트 증후군 1예
이화령, 김광현, 한상원, 박재현, 백종삼
인제대학교 의과대학 상계백병원 신경과
Correspondence:  Jong Sam Baik, Tel: +82-2-950-4833, Fax: +82-2-950-1955, 
Email: jsbaik@paik.ac.kr
Received: 20 July 2017   • Accepted: 15 September 2017
Abstract
Ramsay-Hunt syndrome (RHS) is characterized by damage to the facial and vestibulocochlear nerves presenting facial weakness, inner ear dysfunction, periauricular pain, and vesicular rash. Simultaneous involvements of facial nerve and vestibulocochlear nerve are common but the involvement of other cranial nerves is extremely rare. A 58-year-old male presented with headache and fever for 4 days. The day after admission, erythematous vesicles accompanied by facial palsy, vertigo and dysphagia were developed at his left posterior auricle. A videofluoroscopic swallowing study conducted after 14 days of dysphagia onset showed laryngeal aspiration and moderate amounts of residue on the pyriform sinus. Gradual improvement of dysphagia was observed and normal swallowing was eventually enabled at 3 months after symptom onset. We report a patient with RHS who developed dysphagia due to multiple cranial nerve involvement including the glossopharyngeal nerve and vagus nerve.
Key Words: Dysphagia, Facial palsy, Ramsay hunt syndrome
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