Download PDF
CC BY-NC-ND 4.0 · Annals of Otology and Neurotology 2021; 4(02): 079-082
DOI: 10.1055/s-0041-1735415
Case Report

Ramsay Hunt Syndrome: Viral Infection Coexisting with COVID-19

Madhuri Mehta
1   Department of Otorhinolaryngology, NC Jindal Institute of Medical Sciences, Hisar, Haryana, India
,
Akanksha Jain
1   Department of Otorhinolaryngology, NC Jindal Institute of Medical Sciences, Hisar, Haryana, India
,
Navroz Mehta
2   Department of ENT, Guwahati Medical College, Guwahati, Assam, India
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Severe acute respiratory syndrome coronavirus 2 presents with a multitude of different symptoms and signs, most described is respiratory compromise. Many viral and bacterial infections coexist with coronavirus disease 2019 (COVID-19). Many cranial neuropathies have also been reported, including facial nerve palsy and sudden sensorineural hearing loss individually. Ramsay Hunt Syndrome, which is conventionally described as acute peripheral facial neuropathy, associated with erythematous vesicular rash of pinna or external auditory canal can at times present with cochlear or vestibular symptoms along with it. We report the case of a 32-year-old male who presented with Ramsay Hunt syndrome with cochlear manifestation during his COVID-19 illness. Evaluation of the patient and further management have been described.

Keywords

COVID-19 - facial palsy - sudden sensorineural hearing loss


Publication History

Article published online:
21 September 2021

© 2021. Indian Society of Otology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Codeluppi L, Venturelli F, Rossi J. et al. Facial palsy during the COVID-19 pandemic. Brain Behav 2021; 11 (01) e01939 Doi: DOI: 10.1002/brb3.1939.
    CrossrefPubMedGoogle Scholar
  • 2 Costello F, Dalakas MC. Cranial neuropathies and COVID-19: neurotropism and autoimmunity. Neurology 2020; 95 (05) 195-196
    CrossrefPubMedGoogle Scholar
  • 3 Lima MA, Silva MTT, Soares CN. et al. Peripheral facial nerve palsy associated with COVID-19. J Neurovirol 2020; 26 (06) 941-944
    CrossrefPubMedGoogle Scholar
  • 4 Toscano G, Palmerini F, Ravaglia S. et al. Guillain-Barré syndrome associated with SARS-CoV-2. N Engl J Med 2020; 382 (26) 2574-2576
    CrossrefPubMedGoogle Scholar
  • 5 Koumpa FS, Forde CT, Manjaly JG. Sudden irreversible hearing loss post COVID-19. BMJ Case Rep 2020; 13 (11) e238419 DOI: 10.1136/bcr-2020.
    CrossrefPubMedGoogle Scholar
  • 6 Sriwijitalai W, Wiwanitkit V. Hearing loss and COVID-19: a note. Am J Otolaryngol 2020; 41 (03) 102473
    CrossrefPubMedGoogle Scholar
  • 7 Mustafa MW. Audiological profile of asymptomatic Covid-19 PCR-positive cases. Am J Otolaryngol 2020; 41 (03) 102483
    CrossrefPubMedGoogle Scholar
  • 8 Kuhweide R, Van de Steene V, Vlaminck S, Casselman JW. Ramsay Hunt syndrome: pathophysiology of cochleovestibular symptoms. J Laryngol Otol 2002; 116 (10) 844-848
    CrossrefPubMedGoogle Scholar
  • 9 López-Blanco R, Cazorla-Garcia R, Barbero-Bordallo N, Fernández-Ferro J. Neurological infections during the COVID-19 pandemic. Neurologia 2020; 35 (04) 273-274
    PubMedGoogle Scholar
  • 10 Goh Y, Beh DLL, Makmur A, Somani J, Chan ACY. Pearls & Oysters: facial nerve palsy in COVID-19 infection. Neurology 2020; 95 (08) 364-367
    CrossrefPubMedGoogle Scholar
  • 11 Casas E, Barbosa A, Rubio-García E. et al. [Isolated peripheral facial paralysis in a patient with COVID-19]. Rev Neurol 2020; 71 (01) 40-41
    Google Scholar
  • 12 Elkhouly A, Kaplan AC. Retraction: Noteworthy Neurological Manifestations Associated With COVID-19 Infection. Cureus 2021; 13 (03) r26 Doi: DOI: 10.7759/cureus.r26.
    CrossrefPubMedGoogle Scholar
  • 13 Figueiredo R, Falcão V, Pinto MJ, Ramalho C. Peripheral facial paralysis as presenting symptom of COVID-19 in a pregnant woman. BMJ Case Rep 2020; 13 (08) e237146 DOI: 10.1136/bcr-2020-237146.
    CrossrefPubMedGoogle Scholar
  • 14 Degen C, Lenarz T, Willenborg K. Acute profound sensorineural hearing loss after COVID-19 pneumonia. Mayo Clin Proc 2020; 95 (08) 1801-1803
    CrossrefPubMedGoogle Scholar
  • 15 Abdel Rhman S, Abdel Wahid A. COVID -19 and sudden sensorineural hearing loss, a case report. Otolaryngology Case Reports 2020; 16: 100198
    CrossrefPubMedGoogle Scholar