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Stellate ganglion block can relieve symptoms and pain and prevent facial nerve damage.

Gogia AR, Chandra KN - Saudi J Anaesth (2015 Apr-Jun)

Bottom Line: It is typically associated with a red rash and blister (inflamed vesicles or tiny water filled sacks in the skin) in or around the ear and eardrum and sometimes on the roof of the mouth or tongue.Corticosteroid, oral acyclovir, and anticonvulsant are used for treatment of this.We present a case of Ramsay hunt syndrome in which pain and symptoms are not relieved by oral medication but by daily sittings of stellate ganglion block with local anesthetic and steroid, pain, and other symptoms are relieved, and facial nerve damage is prevented.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, VMMC and Safdarjang Hospital, New Delhi, India.

ABSTRACT
Ramsay hunt syndrome[1] is a varicella zoster virus infection of the geniculate ganglion of the facial nerve. It is typically associated with a red rash and blister (inflamed vesicles or tiny water filled sacks in the skin) in or around the ear and eardrum and sometimes on the roof of the mouth or tongue. Corticosteroid, oral acyclovir, and anticonvulsant are used for treatment of this. In addition to this sympathetic neural blockade via stellate ganglion block is used to prevent facial nerve damage and relieve symptoms. We present a case of Ramsay hunt syndrome in which pain and symptoms are not relieved by oral medication but by daily sittings of stellate ganglion block with local anesthetic and steroid, pain, and other symptoms are relieved, and facial nerve damage is prevented.

No MeSH data available.


Related in: MedlinePlus

Lesion over cheek and ear lobe
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Figure 1: Lesion over cheek and ear lobe

Mentions: A 70-year-old female attended dermatology department with a complaint of right ear pain and fluid filled lesion over the right side of the cheek for past 6 days. She had developed right ear pain followed by appearance of fluid-filled vesicles near right ear, which gradually involved the entire lateral aspect of right cheek, ear lobe, pinna, and retroauricular area. The vesicles ruptured in 1-2 days leaving crusted erosions. She also developed fever for 2 days which was intermittent and low grade in nature. It was not associated with chills and rigors. There were pus discharge and burning sensation in retroauricular area. There was no history of itching, photosensitivity, and drug intake prior to onset of disease. There was no history of diabetes mellitus, hypertension, asthma, and any contact with a tuberculosis patient [Figures 1 and 2].


Stellate ganglion block can relieve symptoms and pain and prevent facial nerve damage.

Gogia AR, Chandra KN - Saudi J Anaesth (2015 Apr-Jun)

Lesion over cheek and ear lobe
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374230&req=5

Figure 1: Lesion over cheek and ear lobe
Mentions: A 70-year-old female attended dermatology department with a complaint of right ear pain and fluid filled lesion over the right side of the cheek for past 6 days. She had developed right ear pain followed by appearance of fluid-filled vesicles near right ear, which gradually involved the entire lateral aspect of right cheek, ear lobe, pinna, and retroauricular area. The vesicles ruptured in 1-2 days leaving crusted erosions. She also developed fever for 2 days which was intermittent and low grade in nature. It was not associated with chills and rigors. There were pus discharge and burning sensation in retroauricular area. There was no history of itching, photosensitivity, and drug intake prior to onset of disease. There was no history of diabetes mellitus, hypertension, asthma, and any contact with a tuberculosis patient [Figures 1 and 2].

Bottom Line: It is typically associated with a red rash and blister (inflamed vesicles or tiny water filled sacks in the skin) in or around the ear and eardrum and sometimes on the roof of the mouth or tongue.Corticosteroid, oral acyclovir, and anticonvulsant are used for treatment of this.We present a case of Ramsay hunt syndrome in which pain and symptoms are not relieved by oral medication but by daily sittings of stellate ganglion block with local anesthetic and steroid, pain, and other symptoms are relieved, and facial nerve damage is prevented.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, VMMC and Safdarjang Hospital, New Delhi, India.

ABSTRACT
Ramsay hunt syndrome[1] is a varicella zoster virus infection of the geniculate ganglion of the facial nerve. It is typically associated with a red rash and blister (inflamed vesicles or tiny water filled sacks in the skin) in or around the ear and eardrum and sometimes on the roof of the mouth or tongue. Corticosteroid, oral acyclovir, and anticonvulsant are used for treatment of this. In addition to this sympathetic neural blockade via stellate ganglion block is used to prevent facial nerve damage and relieve symptoms. We present a case of Ramsay hunt syndrome in which pain and symptoms are not relieved by oral medication but by daily sittings of stellate ganglion block with local anesthetic and steroid, pain, and other symptoms are relieved, and facial nerve damage is prevented.

No MeSH data available.


Related in: MedlinePlus