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Arch Neurol. 2005;62:1774-1775.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Ramsay Hunt syndrome (RHS) refers to the association of unilateral peripheral facial nerve palsy and herpes zoster infection of the ear (herpes zoster oticus), with or without hearing loss.¹ Involvement of additional cranial nerves is a phenomenon that has been recognized since the original clinical description but has received relatively little attention.^2-3 We report a case of a patient with the clinical diagnosis of RHS presenting with multiple cranial neuropathies in whom a magnetic resonance imaging study of the brain demonstrated evidence of petrosal inflammation, a finding previously unsuspected in a condition known to spread through interneural connections.

An 83-year-old woman developed left ear pain and fever. Four days later she noted hoarseness of her voice, decreased hearing, difficulty swallowing, and left facial droopiness. General examination demonstrated exudative vesicular lesions with erythema of the left ear (Figure 1A). Neurologic examination showed left facial weakness (Figure 1B), . . . [Full Text of this Article]

AUTHOR INFORMATION

Alberto J. Espay, MD; Robert L. Bull, MD