외전신경마비가 동반된 Ramsay-Hunt 증후군 = Abducens Nerve Palsy Associated with Ramsay-Hunt Syndrome

다국어 초록 (Multilingual Abstract)

Ramsay-Hunt syndrome is an infectious disease caused by the varicella zoster virus. It is usually associated with facial and vestibulocochlear nerve palsy, but other cranial nerve dysfunction can be accompanied. We present a 68-year-old woman with abducens nerve palsy associated with Ramsay-Hunt syndrome. She showed abduction limitation of left eye with peripheral facial palsy and vestibulopathy of the left side. Varicella zoster virus polymerase chain reaction of cerebrospinal fluid was positive and internal auditory canal magnetic resonance imaging was revealed enhancement of labyrinthine segment of left facial nerve. Although abducens nerve palsy is uncommon feature of Ramsay-Hunt syndrome, but it can be developed by several different mechanisms.

참고문헌 (Reference)

1 Hunt JR, "The symptom-complex of the acute posterior poliomyelitis of the geniculate, auditory, glossopharyngeal and pneumogastric ganglia" 5 : 631-675, 1910

2 Shim HJ, "Ramsay Hunt syndrome with multicranial nerve involvement" 131 : 210-215, 2011

3 Sweeney CJ, "Ramsay Hunt syndrome" 71 : 149-154, 2001

4 Kim YH, "Prognosis of Ramsay Hunt syndrome presenting as cranial polyneuropathy" 120 : 2270-2276, 2010

5 Espay AJ, "Petrositis in Ramsay Hunt syndrome with multiple cranial neuropathies" 62 : 1774-1775, 2005

6 Lapresle J, "Cranial nerve ischaemic arterial syndromes. A review" 109 : 207-216, 1986

7 Kim YH, "Bilateral simultaneous facial nerve palsy: clinical analysis in seven cases" 29 : 397-400, 2008

8 김창희, "A Case of Ramsay Hunt Syndrome with Cranial Polyneuropathy" 대한청각학회 16 (16): 80-82, 2012