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Castro, M. Lisa Eliceche" "autores" => array:2 [ 0 => array:4 [ "nombre" => "H.M." "apellidos" => "Castro" "email" => array:1 [ 0 => "matias.castro@hospitalitaliano.org.ar" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Lisa Eliceche" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Interna, Central de Emergencias de Adultos, Hospital Italiano de San Justo Agustín Rocca, San Justo, Argentina" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Ramsay-Hunt" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 739 "Ancho" => 1250 "Tamanyo" => 150980 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Ramsay-Hunt syndrome is defined as herpes zoster oticus associated with peripheral facial paralysis (PFP). The syndrome is frequently associated with lesions of other cranial nerves and is caused by the reactivation of the varicella-zoster virus (VZV) in the geniculate ganglion. Ramsay-Hunt syndrome is the second leading cause of PFP.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 64-year-old woman with a history of type 2 diabetes mellitus, hypertension and dyslipidemia was admitted to the emergency department for otalgia, dizziness and PFP that started 5 days earlier. The neurological examination revealed left PFP (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) with facial asymmetry, a left eyebrow lower than the right, right deviation of the oral commissure and disappearance of frontal sulci and left nasogenian folds. The left external ear presented edema and painful erythema, along with polycyclic erosions with crusts (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The skin lesion swab was positive for VZV with the polymerase chain reaction. The diagnosis of Ramsay-Hunt syndrome was established; the patient was therefore indicated treatment with systemic corticosteroids and acyclovir.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Other associated signs and symptoms include nausea, hearing loss, vomiting, dizziness and nystagmus. The treatment consists of antivirals (acyclovir 800<span class="elsevierStyleHsp" style=""></span>mg/5 times a day for 7–10 days) and corticosteroids (prednisone 1<span class="elsevierStyleHsp" style=""></span>mg/kg for 5 days). The unfavorable prognostic factors are complete paralysis, age greater than 50 years, hypertension and diabetes mellitus. Understanding this syndrome is important because early treatment decreases the cranial nerve sequelae, with complete recovery in 75% of cases.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-10-29" "fechaAceptado" => "2018-10-31" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Castro H, Lisa Eliceche M. Ramsay-Hunt syndrome. Rev Clin Esp. 2020;220:203–204.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 739 "Ancho" => 1250 "Tamanyo" => 150980 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022000000003/v1_202003270004/S2254887419300475/v1_202003270004/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022000000003/v1_202003270004/S2254887419300475/v1_202003270004/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419300475?idApp=WRCEE" ]
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