以咽喉部为首发部位合并多颅神经受累的Ramsay Hunt综合征1例  

A case report:Ramsay Hunt syndrome with throat as starting place merger ipsilateral cranial nerver involvement

作　　者：刘刚 常蕾 辛阳 杨红 张晓华 陈耔辰 张青[2] 

机构地区：[1]西安市泾河工业园长庆油田职工医院耳鼻咽喉科,西安710201 [2]西安交通大学医学院第二附属医院耳鼻咽喉头颈外科病院

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第10期807-809,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金(No:81670945;81541040);陕西省重大国际合作项目(No:2013KW-28);西安市科技攻关项目(No:SF1315(1));西安交通大学医学院第二附属医院人才基金[No:RC(GG)201407]

摘　　要：1病例报告患者,男,70岁,因声嘶2周,左眼不能闭合,口角歪斜2d,于2015年5月22日就诊。2周前,患者无明显诱因出现咳嗽、咳痰、声嘶、咽喉部疼痛,饮水呛咳、吞咽不畅,无畏寒、发热、头晕、头痛、呼吸困难等症状,在当地医院以为＂咽喉炎＂,给予＂阿奇霉素、氨溴索＂等药物治疗。6d后,自觉咽喉疼痛、咳嗽、咳痰明显好转,但声嘶、饮水呛咳、吞咽不畅无改善。The clinical data of a case of Ramsay Hunt syndrome concurrent with ipsilateral Ⅴ、Ⅶ、Ⅷ、Ⅸ、Ⅹ、Ⅺ cranial nerves paralysis with throat as starting place was retrospectively analyzed, and the relevant literatures were also reviewed. The case is rare. so the relevant clinical reports are less. It is important to take the objective data as well as subjective symptoms of the patients into consideration to make a definite diagnosis, so that we can treat it as soon as possible to achieve better curative effect.

关 键 词：RAMSAY HUNT综合征 带状疱疹 多颅神经损伤 

分 类 号：R761.1[医药卫生—耳鼻咽喉科]