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May 1968

Ramsay Hunt Syndrome

Author Affiliations

Durham, NC
From the Divisions of Neurology and Neurosurgery, Duke University Medical Center, Durham, NC.

Arch Neurol. 1968;18(5):583. doi:10.1001/archneur.1968.00470350141015

RAMSAY HUNT'S original description of geniculate herpes zoster is a model of thoughtful analysis applied to a clinical observation. From an eruption in the ear, Hunt was able to define the concept of inflammation of cranial nerve ganglia and deduce the sensory distribution of the facial nerve. Hunt, who was an American neurologist, saw in geniculate herpes not only a new syndrome but also a unique neuroanatomical demonstration, and he elaborated his ideas on the functions and dysfunctions of the seventh cranial nerve in a series of articles over a period of 30 years. One significant contribution of the later papers was the description of oral eruptions in geniculate herpes.1 A major review of the subject was published by him in 1937,2 the year of his death.

Additions to Hunt's clinical picture have been made by other authors, and involvement of the ninth and tenth cranial nerves,

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