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Delayed facial palsy after middle-ear surgery due to reactivation of varicella-zoster virus

Published online by Cambridge University Press:  29 June 2007

Kiyofumi Gyo  and
Nobumitsu Honda
Kiyofumi Gyo*
Affiliation:
Department of Otolaryngology, Ehime University Hospital, Ehime, Japan
Nobumitsu Honda
Affiliation:
Department of Otolaryngology, Ehime University Hospital, Ehime, Japan
*
Address for correspondence: Kiyofumi Gyo M.D., Department of Otolaryngology, Ehime University Hospital, Onsengun, Shigenobu-cho, Ehime, 791-02, Japan
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Abstract

Viral reactivation is thought to be an important cause of post-operative facial palsy of delayed onset. We present an unusual case of Ramsay-Hunt syndrome that occurred as a consequence of middle-ear surgery by triggering varicella-zoster virus reactivation. As a pathognomonic auricular eruption was not seen, the patient was initially misdiagnosed as iatrogenic facial palsy. Clinical features, diagnosis and management are discussed.

Keywords

Facial nerveHerpes zoster oticusSurgery, operative
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 10 , October 1999 , pp. 914 - 915
Copyright
Copyright © JLO (1984) Limited 1999

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References

Carton, C. A., Kilbourne, E. D. (1952) Activation of latent herpes simplex by trigeminal sensory-root section. New England Journal of Medicine 246: 172–176.CrossRefGoogle ScholarPubMed
Furuta, Y., Takasu, T., Fukuda, S., Sato, K. C, Inuyama, Y., Hondo, R., Nagashima, K. (1992a) Detection of varicella-zoster virus DNA in human geniculate ganglia by polymerase chain reaction. Journal of Infectious Diseases 166: 1157–1159.CrossRefGoogle ScholarPubMed
Furuta, Y., Takasu, T., Sato, K. C., Fukuda, S., Inuyama, Y., Nagashima, K. (1992b) Latent herpes simplex virus type 1 in human geniculate ganglia. Ada Neuropathologica 84: 39–44.CrossRefGoogle ScholarPubMed
Gianoli, G. J., Kartush, J. M. (1996) Delayed facial palsy after acoustic neuroma resection: the role of viral reactivation. American Journal of Otology 17: 625–629.Google ScholarPubMed
Haverkos, H. W., Pazin, G. J., Ho, M., Nelson, P. B. (1984) Reactivation of type 2 herpes simplex virus by thoracolumbar neurosurgery. Annals of Internal Medicine 101: 503–504.CrossRefGoogle ScholarPubMed
Murakami, S., Hato, N., Horiuchi, J., Honda, N., Gyo, K., Yanagihara, N. (1997) Treatment of Ramsay-Hunt syndrome with acyclovir-prednisone: significance of early diagnosis and treatment. Annals of Neurology 41: 353–357.CrossRefGoogle ScholarPubMed
Murakami, S., Hato, N., Mizobuchi, M., Nakashiro, Y., Honda, N., Gyo, K. (1998a) Rapid diagnosis of varicella zoster virus infection in acute facial palsy. Neurology 51: 1202–1205.CrossRefGoogle ScholarPubMed
Murakami, S., Nakashiro, Y., Mizobuchi, M., Hato, N., Honda, N., Gyo, K. (1998b) Varicella-zoster virus distribution in Ramsay–Hunt syndrome revealed by polymerase chain reaction. Ada Otolaryngologica (Stockholm) 118: 145–149.Google ScholarPubMed
Nabors, M. W., Francis, C. K., Kobrine, A. I. (1986) Reactivation of herpes virus in neurosurgical patients. Neurosurgery 19: 599–603.CrossRefGoogle ScholarPubMed
Pazin, G. J., Ho, M., Jannetta, P. J. (1978) Reactivation of herpes simplex virus after decompression of the trigeminal nerve root. Journal of Infectious Diseases 138: 405–409.CrossRefGoogle ScholarPubMed
Vrabec, J. T. (1999) Delayed facial palsy after tympanomas-toid surgery. American Journal of Otology 20: 26–30.Google ScholarPubMed