迷走神经受损的Ramsay-Hunt综合征

Ramsay-Hunt Syndrome With Impairment of Vagus Nerve

目的 报道 2例Ramsay -Hunt综合征合并迷走神经侵犯的临床特征。方法 结合文献复习 ,对 2例Ramsay -Hunt综合征合并迷走神经受累患者的临床资料进行分析。结果 2例患者均出现声嘶、血压升高、恶心呕吐等剧烈胃肠反应 ;1例患者病程中未出现典型面瘫症状。结论 对诊断或怀疑Ramsay -Hunt综合征的患者应进行面神经电图及镫骨肌反射检查 ;迷走神经受损的临床特征为 :声嘶、血压升高。

Objective To investigate the characteristics of Ramsay Hunt syndrome with vagal nerve impairment.Methods The clinical data of 2 cases was analyzed.Results Both patients complained about hoarseness,high blood pressure,nausea and vomiting.One case had erythematous vesicular rash on the ear but without facial paralysis.Conclusion Facial nerve electrography and reflex of stapes muscle might be beneficial for the diagnosis of Ramsay-Hunt syndrome.Symptoms such as hoarseness,hypertension,nausea and vomiting may be indicators of vagal nerve impairment.