DOI: http://dx.doi.org/10.18203/2349-3933.ijam20170129

A rare case of herpes zoster maxillaris with cranial polyneuropathy

Shubhransu Patro, Debananda Sahoo, Anil Kumar Dash, Biswamohan Mishra

Abstract


Varicella zoster virus has a high affinity for the ganglion and causes various neuropathies. About 12% of all peripheral facial nerve palsies are caused by varicella zoster virus, a rare complication due to reactivation of the herpes zoster virus in the geniculate ganglion of facial nerve. The occurrence rate of associated cranial polyneuropathy has been reported to be 1.8-3.2% and cranial nerves VII, VIII, IX and X are the ones most commonly affected. Here, we present a case of Herpes zoster maxillaris with cranial polyneuropathy who was improved with oral anti-viral drugs and steroid. Multiple cranial nerve palsies are being observed frequently in patients who were referred with a preliminary diagnosis of facial palsy. These patients are required to be examined in detail for involvement of other cranial nerves. Early diagnosis and treatment is required for reversing the functions of cranial nerves and decreasing the chance of developing other complications.


Keywords


Acyclovir, Geniculate ganglion, Herpes zoster maxillaris, Varicella zoster virus

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References


Steiner I, Kennedy PG. Herpes simplex virus latent infection in the nervous system. J Neurovirol 1995;1(1):19-29.

Kikuchi H, Yoshimura T, Hara H. A case of multiple cranial neuropathy due to varicella-zoster virus infection: detection on involvement of cranial ganglia with MRI. Rinsho Shinkeigaku. 1995;35:814-6.

Nagano K, Yoshimura K, Yamasaki M. A case of ramsay hunt syndrome associated with local meningitis, multiple cranial neuropathy, and the second cervical nerve involvement. Rinsho Shinkeigaku. 1999;39:475-77.

Doi H, Segawa F, Koyano S. A case of Vernet's syndrome due to varicella-zoster virus infection. Rinsho Shikeigaku. 2001;41:695-97.

Patro S, Jena PK, Misra GC, Rath KC, Khatua P. Herpes zoster infection involving the maxillary branch of the right trigeminal nerve - a rare case report. The Antiseptic. 2013;110(1):36-8.

Chitose SI, Umeno H, Hamakawa S, Nakashima T, Shoji H. Unilateral associated laryngeal paralysis due to varicella-zoster virus: virus antibody testing and videofluoroscopic findings. J Laryngol Otol. 2008;122(2):170-6.

Nishizaki K, Onoda K, Akagi H, Yuen K, Ogawa T, Masuda Y. Laryngeal zoster with unilateral laryngeal paralysis. ORL J Otorhinolaryngol Relat Spec. 1997;59(4):235-7.

Bossche VDP, Bossche VDK, Vanpoucke H. Laryngeal zoster with multiple cranial nerve palsies. Eur Arch Otorhinolaryngol. 2008;265(3):365-7.

Watelet JB, Evrard AS, Lawson G, Bonte K, Remacle M, Cauwenberge VP, et al. Herpes zoster laryngitis: case report and serological profile. Eur Arch Otorhinolaryngol. 2007;264(5):505-7.

Kim YH, Chang MY, Jung HH, Park YS, Lee SH, Lee JH, et al. Prognosis of ramsay hunt syndrome presenting as cranial polyneuropathy. Laryngoscope. 2010;120:2270-6.

Patro S, Mishra GC, Toppo L, Katua P. Ramsay hunt syndrome with 8th cranial nerve palsy in a diabetic patient. Orissa Physicians Journal. 2010;6:98-102.

Sahoo D, Patro S, Khora PK, Panda UN. A case of herpes zoster oticus with multiple cranial nerve palsy. Int J Adv Med. 2016;3:780-2.

Korzec K, Sobol SM, Kubal W, Mester SJ, Winzelberg G, May M. Gadolinium-enhanced magnetic resonance imaging of the facial nerve in herpes zoster oticus and Bell’s palsy: clinical implications. Am J Otol. 1991;12:163-8.

Engstrom M, Abdsaleh S, Ahlstrom H, Johansson L, Stålberg E, Jonsson L. Serial gadolinium-enhanced magnetic resonance imaging and assessment of facial nerve function in Bell’s palsy. Otolaryngol Head Neck Surg. 1997;117:559-66.

Bossche VDP, Bossche VDK, Vanpoucke H. Laryngeal zoster with multiple cranial nerve palsies. Eur Arch Otorhinolaryngol. 2008;265(3):365-7.

Ohashi T, Fusimoto M, Shimizu H, Atsumi T. A case of isolated vagus nerve palsy with herpes zoster. Rhinso Shinkeigaku. 1994;34:928-9.