37-year-old female
What is the diagnosis?
What is the diagnosis?
A 37-year-old female
π complained of giddiness and loss of balance while walking
πunable to close the left eye
πdroolingof saliva from the corner of left angle of mouth
π difficult to swallow.
π complained of giddiness and loss of balance while walking
πunable to close the left eye
πdroolingof saliva from the corner of left angle of mouth
π difficult to swallow.
π had continuous severe shooting pain like electric current from left ear and around it since last 3 days
πreduced in hearing from left ear last 1 week
β¦οΈ
No h/o chicken pox in the past, acute febrile illness and body ache, dm, htn, chronic illness in the past
πreduced in hearing from left ear last 1 week
β¦οΈ
No h/o chicken pox in the past, acute febrile illness and body ache, dm, htn, chronic illness in the past
π consumed herbal and homeopathic medicine, Unani and locally applied some ayurvedic preparation
π young lady, thin built, with left infra-nuclear seventh cranial nerve palsy
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Positive bells phenomenon
π young lady, thin built, with left infra-nuclear seventh cranial nerve palsy
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Positive bells phenomenon
π herpes zoster vesicles over the left mastoid process
π edema with diffuse conglomeration of vesicles over left ear and edema of left ear (1B)
π similar vesicles noted over the left half palate (1C)
π left half of dorsal and ventral side of tongue (1D).
π edema with diffuse conglomeration of vesicles over left ear and edema of left ear (1B)
π similar vesicles noted over the left half palate (1C)
π left half of dorsal and ventral side of tongue (1D).
π no involvement of other cranial nerves
π MRI of brain was normal.
Fundus normal
πHIV negative, Hb 13.1, wbc 5140 , serum B12 498 pg/ml (187-883), random blood sugar 89.4 mg/dl
π MRI of brain was normal.
Fundus normal
πHIV negative, Hb 13.1, wbc 5140 , serum B12 498 pg/ml (187-883), random blood sugar 89.4 mg/dl
π given oral famciclovin 500 mg 8 hourly
π prednisolone 1mg/kg and tapered over two weeks
π regular facial physiotherapy
π symptoms progressively regressed
π scaring over skin of left mastoid and in the ear (Figure 1E).
π prednisolone 1mg/kg and tapered over two weeks
π regular facial physiotherapy
π symptoms progressively regressed
π scaring over skin of left mastoid and in the ear (Figure 1E).
Ramsay hunt syndrome is viral diseases caused by reactivation of latent varicella-zoster virus
πoften in an immunesuppression, old age, and diabetes or malignancy infection in the geniculate ganglion
πoften in an immunesuppression, old age, and diabetes or malignancy infection in the geniculate ganglion
Characterized by lower motor neuron seventh cranial nerve palsy
πaccompanied with pain in ear and vesicular lesion on auricle, external auditory meatus and pre-auricular region
πaccompanied with pain in ear and vesicular lesion on auricle, external auditory meatus and pre-auricular region
π more serious and carries poor prognosis
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Glucocorticoid is the treatment of choice.
Famciclovier for seven days if there is new skin eruption,
π there is controversies regarding use of antiviral agents.
**
Glucocorticoid is the treatment of choice.
Famciclovier for seven days if there is new skin eruption,
π there is controversies regarding use of antiviral agents.
@DrSidhMehta1 acyclovir vs. famciclovir, the truth is, there is no βbestβ herpes medication.
All three of the drugs are safe and proven to be effective as treatments for HSV-1, HSV-2, shingles and other forms of the herpes virus.
All three of the drugs are safe and proven to be effective as treatments for HSV-1, HSV-2, shingles and other forms of the herpes virus.
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