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Picture of the Month
Sydney S. Gellis, MD;
Murray Feingold, MD;
Donald C. Black, MD
Am J Dis Child. 1968;115(2):279-[NP].
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Denouement and Discussion
Geniculate Ganglion Syndrome
(Hunt's Syndrome, Herpes Zoster Oticus)
Manifestations
Herpes zoster virus produces a vesicular eruption of the external ear and the external auditory canal and may or may not involve the oral mucosa, tongue, and peritonsillar region. Inflammation of the sensory or geniculate ganglion of the facial nerve causes a seventh nerve palsy. There is a burning, boring, severe pain usually located in the ear canal and pinna although this is not a constant feature. Deafness, tinnitus, vertigo, facial sensory loss, nystagmus, hoarseness, dysphagia, and decreased lacrimation may result from involvement of the eighth, ninth, and tenth cranial nerves.
Treatment
Steroid treatment may shorten the course of the disorder. Analgesics are often necessary. Recovery from the cutaneous manifestations is usually complete but return of cochlear and vestibular function is less predictable.
. . . [Full Text PDF of this Article]
Author Affiliations
Paris, Tex
Footnotes
Received for publication July 24, 1967.
Reprint requests to 938 Bonham St, Paris, Tex 75460 (Dr. Black).
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