SÍNDROME DE RAMSAY HUNT E NEURALGIA PÓS-HERPÉTICA COMO COMPLICAÇÕES DE HERPES ZÓSTER: RELATO DE CASO

Ramsay Hunt Syndrome, Auricular Zóster or Herpes Zoster Optic (HZO), is a rare complication of herpes zoster in the geniculate ganglion, witch occurs due to a reactivation of a latent infection by varicella-zoster, progressing to paralysis of the peripheral facial nerve.¹ In general, epidemiology is still not well reported in the medical literature.² Clinical manifestations include vesicular rashes in the external ear, along the affected side of the face, on palatum molle and on the tongue (20%); ipsilateral facial paralysis of the lower motor neuron and otalgia. 12 In addition, hearing loss, nausea, vomiting, tinnitus, vertigo and nystagmus are common symptoms. 13 The anatomical relationships of the cranial nerves and their ramifications increase the clinical heterogeneity of the disease according to the involvement of the viral infection. The authors present the case of a 57-year-old female patient who, after a Burnout, had reactivation of the varicella-zoster virus with involvement of the VII cranial nerve, with facial paralysis ipsilateral and erythematous vesicular lesions in the right ear.