Loading....
Coupon Accepted Successfully!

ENT

Open Flashcards

Facial nerve and its disorders

Question
33 out of 33
 

True about Ramsay-hunt syndrome except: [UP 2010]



A Involves VII nerve

B May involves VIII nerve

C Surgical removal gives excellent prognosis

D Causative agent is virus

Ans. C Surgical removal gives excellent prognosis

We have already discussed Ramsay hunt syndrome is ipsilateral facial nerve palsy accompanied by an erythematous vesicular rash on the ear or in mouth (soh palate).

It is caused by Herpes zoster virus

a. It may involve other cranial nerves viz- V, VIII, IX and X also. (current otolaryngology, 3rd/ed p 878)

b. Ramsay Hunt syndrome can be differented from Bells by characteristic cutaneous changes and a higher incidence of cochleosaccular dysfunction due to involvement of VIII nerve.

c. The prognosis of Ramsay Hunt is worse than Bells palsy. Persistent weakness is observed in 30-50% of patients and only 10% recover completely after complete loss of function without treatment.

d. Treatment recommended - is steroids (oral prednisolone) for 5 days followed by a ten day taper combined within or oral acyclovir

e. It is seen that Ramsay hunt syndrome patients treated with prednisone and acyclovir within 3 days of onset showed statistically significant improvement.

f. Surgical decompression is not indicated in Ramsay hunt syndrome.

Facial nerve and its disorders Flashcard List

33 flashcards
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)
16)
17)
18)
19)
20)
21)
22)
23)
24)
25)
26)
27)
28)
29)
30)
31)
32)
33)