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A Case of Pontine Infarction with Facial Palsy and Vertigo Confused with Ramsay Hunt Syndrome
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Jae Seon Park, Sang Hyun Kim, Jung-Yup Lee, Min-Beom Kim
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Res Vestib Sci. 2022;21(2):57-62. Published online June 15, 2022
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DOI: https://doi.org/10.21790/rvs.2022.21.2.57
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Abstract
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- Facial palsy can be caused by central and peripheral causes, and it can also be caused by brain tumors or infarction. A 59-year-old male, who lost his right hearing 13 years ago due to Ramsay Hunt syndrome, visited our hospital with facial palsy and dizziness. Initial brain diffusion-weighted magnetic resonance imaging (MRI) showed no abnormal findings, and recurrent Ramsay Hunt syndrome or a neoplastic lesion in the internal auditory canal was suspected. After hospitalization, the patient was administered high-dose steroids, and the videonystagmography showed direction-changing gaze-induced nystagmus, so a brain MRI reexamination was scheduled. While waiting for MRI, the patient complained of neurological symptoms such as diplopia, and right lower pontine infarction was diagnosed on MRI. The patient was transferred to the neurologic department and was discharged on the 10th day after conservative treatment. During the 1-year follow-up, pontine infarction did not recur, and neurological symptoms such as facial palsy gradually improved.
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A Case of Facial Palsy Developed after Vestibular Neuritis Involving Superior Vestibular Nerve
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Young Gil Ko, Seok Min Hong, Chan Hum Park, Jun Ho Lee
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Res Vestib Sci. 2011;10(1):34-37.
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Abstract
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- Vestibular neuritis is generally thought to be caused by a viral or postviral inflammatory disorder of vestibular structures. But there is no definite evidence to explain this pathophysiological mechanism until now. We experienced an unusual case of 34-year-old man who presented with facial paralysis several days after vertigo of a whirling nature. We report a case of facial palsy developed in succession of ipsilateral vestibular neuritis involving superior vestibular nerve which may infer the viral pathophysiology for the vestibular neuritis with a brief literature review.