RESUMEN
RATIONALE: Ramsay Hunt syndrome in conjunction with cranial polyneuritis is not extensively documented, and is very easily misdiagnosed. PATIENT CONCERNS: A case of a 53-year-old male with Ramsay Hunt syndrome in conjunction with cranial polyneuritis is presented with early symptoms of vertigo, cephalalgia, and facial palsy, followed by zoster oticus 10 days later. DIAGNOSES: Diagnosis was challenging as this condition presents with multiple neuropathies, and attempting to diagnose based on clinical symptoms was often misleading. Polymerase chain reaction can be used to test for presence of the virus in the cerebrospinal fluid, followed by targeted drug therapy. INTERVENTIONS: Acupuncture, in conjunction with fire cupping, bloodletting around the afflicted region on the face, as well as oral consumption of herbal medicine and vitamins for nerve nourishment was given to treat this disease. OUTCOMES: Due to misdiagnosis resulting in delayed treatment, peripheral facial paralysis was left as the main sequelae, while other symptoms responded quickly to treatment. After a 6-month follow-up, facial palsy was still present. LESSONS: Considering that targeted antiviral therapy can be used to increase the effectiveness of treatment, early diagnosis, and timely use of medication is critical.
Asunto(s)
Enfermedades de los Nervios Craneales/diagnóstico , Errores Diagnósticos/efectos adversos , Herpes Zóster Ótico/diagnóstico , Neuritis/diagnóstico , Antivirales/uso terapéutico , Enfermedades de los Nervios Craneales/virología , Parálisis Facial/diagnóstico , Parálisis Facial/virología , Cefalea/diagnóstico , Cefalea/virología , Herpes Zóster Ótico/virología , Humanos , Masculino , Persona de Mediana Edad , Neuritis/virología , Vértigo/diagnóstico , Vértigo/virologíaRESUMEN
Classification (on a nosotropic mechanism) on which distinguish head pain is in-process resulted: vascular, head pain of tension, likvorodinamicheskaya, neuralgic, mixed type, and also facial pains and pains in area of ear. Duration--from a few clock to a few days. Such state can be at hypertensive illness, allergic reaction, fervescence. When GB appears in set time during a few days, large authenticity that it is a vascular type. It is expedient to apply the holiatry of head pain, related to the sharp infection of girdle herpes (Nerpes zoster), antiviral, kortikosteroidnimi, nesteroidnymi protivovospalitel'nymi preparations, antidepressants, methods of refleksoterapii.
Asunto(s)
Cefalea/diagnóstico , Cefalea/terapia , Herpes Zóster/complicaciones , Enfermedad Aguda , Corticoesteroides/administración & dosificación , Corticoesteroides/uso terapéutico , Adulto , Anciano , Antiinflamatorios no Esteroideos/administración & dosificación , Antiinflamatorios no Esteroideos/uso terapéutico , Antidepresivos/administración & dosificación , Antidepresivos/uso terapéutico , Antivirales/administración & dosificación , Antivirales/uso terapéutico , Terapia Combinada , Quimioterapia Combinada , Femenino , Cefalea/etiología , Cefalea/virología , Herpes Zóster/tratamiento farmacológico , Humanos , Masculino , Persona de Mediana Edad , Reflejoterapia , Resultado del TratamientoRESUMEN
Dejerine-Roussy syndrome, also known as the thalamic pain syndrome is a condition in which the body becomes hypersensitive to pain as a result of damage to the thalamus, a part of the brain that affects sensation. Association of this syndrome with HIV is rare with few case reports described in adults. We report a 10 year old male child who was HIV positive and had developed this syndrome due to cytomegalovirus vasculitis.