Herpetic cranial polyneuritis mimicking brain stem infarction - an atypical presentation of Ramsay Hunt syndrome

S. Bharadwaj, A.C. Moffat, B. Wood, Avinash Bharadwaj

    Research output: Contribution to journalReview article

    2 Citations (Scopus)

    Abstract

    © 2016 BMJ Publishing Group Ltd.An elderly man presented with severe right ear pain and discharge, hoarseness and dysphagia causing significant involuntary weight loss. Extensive investigations by varied specialties only highlighted right vocal cord palsy and right parotid lymphadenitis. Reassessment on transfer to a rehabilitation ward noted clinically subtle right Ramsay Hunt syndrome with multiple lower cranial nerve involvement. We illustrate a case of varicella zoster virus cranial polyneuritis with bulbar symptoms mimicking bulbar stroke, requiring percutaneous endoscopic gastrostomy feeds, with significant clinical and radiological recovery over 1 year.
    Original languageEnglish
    Number of pages6
    JournalBMJ Case Reports
    Volume2016
    DOIs
    Publication statusPublished - 2016

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