Hatice Gamze DEMİRDAĞ, Gülbahar SARAÇ, Mustafa ŞENOL, Nihal ALTUNIŞIK

Ramsay-hunt syndrome with maxillary dermatome involvement: A case report

Herpes zoster (HZ) varisella enfeksiyonu sonrası arka kök gangliyonlarına yerleşen varisella zoster virüsünün (VZV) reaktivasyonu sonucu,latent kaldığı gangliyonun innerve ettiği dermatom bölgesinde veziküler lezyonlarla ortaya çıkar. Sıklıkla yaşamın ilerleyen dönemlerindegörülür. Zonada en sık tutulum torasik dermatomda olmaktadır. Kraniyal sinir tutulumu ise en sık olarak trigeminal sinirde olup, oftalmikdalın etkilenmesi (oftalmik zona), maksiller ve mandibuler dal tutulumuna göre yaklaşık yirmi kat daha sıktır. Ramsay-Hunt sendromu,varisella zoster virüsünün reaktivasyonuyla ortaya çıkan bir kraniyal polinöropatidir. Herpes zoster enfeksiyonları içerisindeki sıklığı %1 olaraktanımlanmıştır. Maksiller dal tutulumunun nadir olması ve beraberinde Ramsay-Hunt sendromu bulunması yönüyle enteresan bulunan

Maksiller dermatomu tutan bir ramsay-hunt sendromu olgusu

Herpes zoster (HZ) is caused by the reactivation of varicella zoster virus (VZV) that remains latent in the dorsal root ganglia after varicellainfection. During the course of the disease, vesicular eruptions appear on skin of the innerved dermatome. Herpes zoster usually occurs inelderly patients. Thoracic dermatome is the most involved area in HZ. Trigeminal nerve is the most affected cranial nerve and ophthalmicbranch of the trigeminal nerve involvement (ophtalmic zona) is twenty times more frequent in comparison with involvement of maxillary andmandibular branches. Ramsay-Hunt syndrome is a cranial polyneuropathy following VZV reactivation. The frequency of Ramsay-Huntsyndrome is defined as %1 in HZ infections. We present this interesting case because maxillary branch involvement with Ramsay-Huntsyndrome is a rare combination.

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