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

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

doi:10.1136/bcr-2016-215182

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 journal › Review article › peer-review

4 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 language	English
Article number	A5
Number of pages	6
Journal	BMJ Case Reports
Volume	2016
DOIs	https://doi.org/10.1136/bcr-2016-215182
Publication status	Published - 2016

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title = "Herpetic cranial polyneuritis mimicking brain stem infarction - an atypical presentation of Ramsay Hunt syndrome",

abstract = "{\textcopyright} 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.",

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AU - Bharadwaj, S.

AU - Moffat, A.C.

AU - Wood, B.

AU - Bharadwaj, Avinash

PY - 2016

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N2 - © 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.

AB - © 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.

U2 - 10.1136/bcr-2016-215182

DO - 10.1136/bcr-2016-215182

M3 - Review article

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VL - 2016

JO - BMJ Case Reports

JF - BMJ Case Reports

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

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