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Ramsay-Hunt综合征致良性阵发性位置性眩晕

吕霞 李进让

临床误诊误治2017,Vol.30Issue(10):16-18,3.
临床误诊误治2017,Vol.30Issue(10):16-18,3.DOI:10.3969/j.issn.1002-3429.2017.10.006

Ramsay-Hunt综合征致良性阵发性位置性眩晕

Ramsay-Hunt Syndrome Can Cause Benign Paroxysmal Positional Vertigo

吕霞 1李进让2

作者信息

  • 1. 054700 河北 邢台,威县人民医院耳鼻咽喉头颈外科
  • 2. 100048 北京,海军总医院全军耳鼻咽喉头颈外科中心
  • 折叠

摘要

Abstract

Objective To improve the understanding of benign paroxysmal positional vertigo (BPPV) caused by Ramsay-Hunt syndrome. Methods The clinical data of a patient with BPPV caused by Ramsay-Hunt syndrome was reviewed. Results A sixty year old female patient was presented to the clinic due to right ear pain and facial paralysis for 2 days, verti-go for one day. The vertigo associated with changes in head position. Physical Examination:A cluster of blisters on the right ear cavity and right peripheral facial paralysis were found. Dix-Hallpike test showed a typical right posterior semicircular canal BPPV. The primary diagnosis was Ramsay-Hunt syndrome and secondary right posterior semicircular canal BPPV. The Li ma-neuver was used for the BPPV of the patient. The vertigo was disappeared the next day, and no recurred after follow up for one month and the facial paralysis was no improved. Conclusion BPPV can be caused by Ramsay-Hunt syndrome. It should be pay attention to the diagnosis and differential diagnosis. The repositioning maneuver is effective for the BPPV.

关键词

神经炎/耳部带状疱疹/面神经麻痹/眩晕/误诊

Key words

Neuritis/Herpes zoster oticus/Facial paralysis/Vertigo/Misdiagnosis

分类

医药卫生

引用本文复制引用

吕霞,李进让..Ramsay-Hunt综合征致良性阵发性位置性眩晕[J].临床误诊误治,2017,30(10):16-18,3.

基金项目

军队后勤科研基金资助项目(BWS14J???) (BWS14J???)

临床误诊误治

OACSTPCD

1002-3429

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