J Korean Bal Soc.  2006 Dec;5(2):311-316.

A Case of Herpes Zoster Oticus Involving Vestibular Nerve without Facial Nerve Palsy

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea. whchung@smc.samsung.co.kr

Abstract

Herpes zoster oticus (Ramsay Hunt syndrome) is characterized by facial nerve paralysis associated with vesticular eruptions and cochleovestibular symptoms. Many evidences have supported that it is caused by the reactivation of latent varicella-zoster virus in the geniculate ganglion. Recently we experienced a case 49-year-old man presented severe vertigo and a vesicular eruptions of auricle and external ear canal. It is an unusual variant of herpes zoster oticus that involves only vestibular nerve without facial nerve palsy and hearing loss. We believe this case results from reactivation of latent varicella zoster virus in the vestibular ganglion and report with a review of literatures.

Keyword

Herpes zoster oticus; Vestibular nerve; Vertigo; Dizziness

MeSH Terms

Dizziness
Ear Canal
Facial Nerve*
Ganglion Cysts
Geniculate Ganglion
Hearing Loss
Herpes Zoster Oticus*
Herpes Zoster*
Herpesvirus 3, Human
Humans
Middle Aged
Paralysis*
Vertigo
Vestibular Nerve*
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