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
Thomas C. Krol, G. Martin Mullen. Herpes Zoster With Facial ParalysisAn Unusual Manifestation. Arch Neurol. 1980;37(6):391. doi:10.1001/archneur.1980.00500550093020