Asia Pacific Journal of Paediatri Child Health, Volume 4, Apr - Jun 2021
Ramsay Hunt Syndrome: A Case Report
Syahmi Amar 1 , Rustam Siregar 1 , Husnia Auliyatul U 1
ABSTRACT
Background: One of the types of cranial Herpes Zoster is herpes zoster oticus. It is rarely found in children with possible clinical manifestations including vesicular lesions according to dermatome and peripheral facial nerve paralysis. The combination of all these symptoms is known as the Ramsay Hunt Syndrome (RHS).
Aims: To describe the diagnosis, treatment, and prognosis of a RHS case.
Case Description: A 14-year-old boy complained of pain and vesicular lesion in the right ear, facial asymmetry. From ear examination found a crusted vesicular lesion in the right ear. Cranial nerve examination found weakness in the peripheral facial nerve House-Brackman score of 4, reduced tear secretion, and impaired taste on the right side. The examination found no abnormality of vestibulocochlear nerve. The patient was offered physiotherapy, oral acyclovir and oral prednisone. After day five, the patient showed an improvement in his facial motor with a House-Brackman score of 3.
Conclusion: Providing comprehensive early therapy including physiotherapy, corticosteroids, and antiviral therapy can improve the recovery rate.
Keywords: Ramsay Hunt Syndrome, Herpes Zoster Virus
Author’s Affiliation: 1- Department of Child Health, Universitas Sebelas Maret Medical School / Dr. Moewardi Hospital
Correspondence: Syahmi Amar, Email: syahmiamar@gmail.com