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Article
January 1950

HERPES ZOSTER OTICUS (RAMSAY HUNT'S SYNDROME)Comments on an Article by Johnson and Zonderman

Author Affiliations

CINCINNATI
From the Department of Otolaryngology, Cincinnati General Hospital and the University of Cincinnati College of Medicine.

Arch Otolaryngol. 1950;51(1):73-82. doi:10.1001/archotol.1950.00700020092006
Abstract

THE CASE of herpes zoster oticus reported by Johnson and Zonderman1 deserves special attention. The authors, after careful examination and observation of the case, revealed a series of unusual findings. Their records particularly concern items such as the sites of the herpetic eruptions, the primary site of the herpetic infection, the possible path of its extension and the high cerebrospinal lymphocyte count. In their attempt to classify the case, they faced some difficulties, particularly with regard to the site of the facial nerve lesion, which was thought to be above the geniculate ganglion, an unusual site in instances of geniculate herpes. This location was revealed by application of the topognostic method previously utilized in my studies of the site of the facial nerve lesion in cases of Ramsay Hunt's syndrome,2 referred to in detail by Johnson and Zonderman. They finally recommended principles by which the clinical entity Ramsay Hunt's syndrome,2

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