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Indian Journal of Communicable Diseases

Volume  10, Issue 2, July - Dec 2024, Pages 67-71
 

Review Article

Herpes Zoster Virus Infection of Facial Nerve Treated Successfully without Corticosteroid

Krishnendu Choudhury1, Biswarup Mukherjee2

1Consultant Neurologist, 2Consultant Physician, Kasturi Das Memorial Super Speciality Hospital, Kolkata 700142, India.
 

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DOI: http://dx.doi.org/10.21088/ijcd.2395.6631.10224.6

Abstract

Herpes zoster virus (HZV) infection of the central and peripheral nervous systems can be of serious consequences. Most of the time it affects the respective dermatomes of the dorsal root ganglia without further invasion. But in some cases it progresses to invade one or multiple cranial nerves in their motor (VI, VII) and /or sensory (V¹²³, VIII) distribution. The geniculate ganglion of the facial nerve (VII) as well as the trigeminal ganglion (V) are particularly vulnerable. Rarely there may be a segmental radiculopathy, or myelopathy, too. We present here a patient who presented with herpes zoster eruptions over face and neck unilaterally with ipsilateral VIIth. cranial nerve (facial) LMN palsy, collectively known as Ramsay Hunt syndrome. He was treated conservatively without using corticosteroid and recovered within few weeks,without any residual neurological deficit.
 


Keywords : Herpes Zoster, Facial nerve, Lower motor neuron, Corticosteroid
Corresponding Author : Krishnendu Choudhury