Abstract

RODRIGUEZ-ALVAREZ, Nathalia Andrea; DURAN-RUEDA, Manuel Fernando; MORALES-CHACON, Katherinee  and  LAFAURIE-NORIEGA, Rubel Andrés. Ramsay Hunt Syndrome in an epileptic patient in Santander, Colombia: Case report. Medicas UIS [online]. 2023, vol.36, n.2, pp.51-57.  Epub Aug 19, 2023. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v36n2-2023005.

Ramsay Hunt Syndrome is a rare entity, with an incidence of 5 per 100,000 people per year. This condition is characterized by a reactivation of the varicella-zoster virus in the facial nerve. Its diagnosis implies a challenge for the physician since it is usually a clinical diagnosis, with the appearance of a clinical triad consisting of: otalgia, ipsilateral facial paralysis and vesicles in the ear canal. The objective of the article is to present the case of a 49-year-old woman, with a history of epilepsy receiving anticonvulsant treatment, who was admitted with the aforementioned clinical triad, associated with blurred right vision and vertigo. The patient was treated with oral antiviral management and oral corticosteroids, presenting a favorable clinical resolution given a reduction of more than 50% of the skin lesions. No differences were identified regarding the clinical presentation of this syndrome when compared with non-epileptic patients.

Keywords : Ramsay Hunt syndrome; Varicella-zoster virus infection; Facial paralysis; Epilepsy.

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