Res Vestib Sci.  2012 Dec;11(4):138-141.

A Case of Herpes Zoster Oticus without Facial Nerve Palsy Associated with Vertigo and Hearing Loss

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. 20110552@kuh.ac.kr

Abstract

Herpes zoster oticus (HZO) is characterized by facial nerve palsy, otalgia and auricular vesicles on the affected side and accepted to be caused by the reactivation of varicella zoster virus (VZV) in the geniculate ganglion. Vestibulocochlear deficits are known to be frequently accompanied by HZO. Unusual clinical manifestations such as only vertigo without facial nerve palsy or hearing loss has been reported. We report a case of 27-year-old man presented with vertigo, sensorineural hearing loss and vesicular eruptions on the left auricle without facial nerve palsy. Serologic test revealed that the patient was positive for immunoglobulin G (IgG) and IgM antibodies against VZV.

Keyword

Herpes zoster oticus; Vertigo; Hearing loss

MeSH Terms

Adult
Antibodies
Earache
Facial Nerve
Geniculate Ganglion
Hearing
Hearing Loss
Hearing Loss, Sensorineural
Herpes Zoster
Herpes Zoster Oticus
Herpesvirus 3, Human
Humans
Immunoglobulin G
Immunoglobulin M
Paralysis
Serologic Tests
Vertigo
Antibodies
Immunoglobulin G
Immunoglobulin M
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