Ramsay Hunt Syndrome is one of the most common causes of peripheral paralysis of facial nerve, preceded only by Bell’s palsy. The characteristic symptoms involve otalgia, skin lesions over the affected ear and facial palsy. Other accompanying symptoms include deception of taste, hearing loss, tinnitus and vertigo. The reactivation of varicella zoster virus in the geniculate ganglion is the main cause of Ramsay Hunt Syndrome. The symptoms of facial palsy are usually more severe than those of Bell’s palsy. Without proper treatments, merely 20% of patients can reach full recovery. In this case report, we present a 52-year-old female with sudden onset of right side facial pain, who later diagnosed with peripheral facial palsy caused by varicella zoster virus. After conventional treatment for three weeks without significant progress, she was referred to the department of Traditional Chinese Medicine. After continuing treatment over three months of acupuncture combined with oral herbal medicine, the symptoms have been improved, including facial palsy, otalgia and hearing loss.
【Keywords】
Ramsay Hunt Syndrome； facial palsy； hearing loss； Traditional Chinese Medicine； Acupuncture
251.5 中醫治療侖謝亨特氏症候群之病例報告
