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May 1934


Arch Otolaryngol. 1934;19(5):574-581. doi:10.1001/archotol.1934.03790050039004

Inflammation of the geniculate ganglion, analogous to inflammation of the dorsal root ganglions in herpes zoster, as pointed out by Hunt,1 produces a series of characteristic signs and symptoms. They include deep-seated pain in the ear and in the region of the mastoid, herpes of the auricle and the external auditory canal and, not infrequently, when the inflammation spreads beyond the limits of the geniculate ganglion to involve the motor fibers of the facial nerve, homolateral facial palsy. Involvement of the auditory nerve is likely to occur and give rise to tinnitus, impaired hearing and vertigo precipitating nausea and vomiting. The infrequency with which this syndrome is reported and the atypical features in this instance prompt us to record this case.

REPORT OF CASE  History.—J. S., a man, aged 51, was admitted to the neurologic service of Dr. I. Strauss on Jan. 16, 1931. Six weeks prior to