以咽喉部为首发部位合并多颅神经受累的Ramsay Hunt综合征1例

A case report:Ramsay Hunt syndrome with throat as starting place merger ipsilateral cranial nerver involvement

1病例报告患者,男,70岁,因声嘶2周,左眼不能闭合,口角歪斜2d,于2015年5月22日就诊。2周前,患者无明显诱因出现咳嗽、咳痰、声嘶、咽喉部疼痛,饮水呛咳、吞咽不畅,无畏寒、发热、头晕、头痛、呼吸困难等症状,在当地医院以为＂咽喉炎＂,给予＂阿奇霉素、氨溴索＂等药物治疗。6d后,自觉咽喉疼痛、咳嗽、咳痰明显好转,但声嘶、饮水呛咳、吞咽不畅无改善。

The clinical data of a case of Ramsay Hunt syndrome concurrent with ipsilateral Ⅴ、Ⅶ、Ⅷ、Ⅸ、Ⅹ、Ⅺ cranial nerves paralysis with throat as starting place was retrospectively analyzed, and the relevant literatures were also reviewed. The case is rare. so the relevant clinical reports are less. It is important to take the objective data as well as subjective symptoms of the patients into consideration to make a definite diagnosis, so that we can treat it as soon as possible to achieve better curative effect.