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Article
June 1980

Herpes Zoster With Facial ParalysisAn Unusual Manifestation

Author Affiliations

From the Departments of Medicine, Loyola University of Chicago, Foster G. McGaw Hospital, Maywood, Ill (Dr Krol) and St Francis Hospital, Evanston, Ill (Dr Mullen).

Arch Neurol. 1980;37(6):391. doi:10.1001/archneur.1980.00500550093020
Abstract

A 72-year-old woman with the Ramsay Hunt's syndrome subsequently experienced brainstem and cerebellar encephalitis and the syndrome of inappropriate antidiuretic hormone secretion.

REPORT OF A CASE  The patient complained of a three-day history of slurred speech, left-sided facial drooping, pain in the left ear, and left parietal headache. There was a left peripheral seventh nerve paralysis with a crusting eruption in the left external auditory canal and on the left pinna. Taste was intact. Lymph nodes were not palpable.Normal laboratory determinations included a 12-factor chemical analysis, urinalysis, serum electrolytes, and the rapid plasma reagin test. The WBC count was 15,300/cu mm and the hemoglobin level was 14.2 g/dL. Chest roentgenogram showed unremarkable features. The eruption of the left ear was dry, and fluid was not obtainable for study.Three days after admission, the patient became lethargic with paresis of the left sixth and eighth nerves, bilateral pyramidal tract signs

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