PRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 102 No. 7 July 2009
A Case of Acute Cerebellar Ataxia with Ramsay Hunt Syndrome
Akemi Sugita-Kitajima and Izumi Koizuka
(St. Marianna University School of Medicine)
Shigeki Sato
(St. Marianna University School of Medicine, Yokohama City)
We experienced a case of Ramsay Hunt syndrome accompanied by acute cerebellar ataxia. The patient was a 70-year-old woman who developed left facial palsy with otalgia, typical findings of Ramsay Hunt syndrome. She was treated with an antiviral reagent and steroid under admission; however, she noticed dizziness about 1 week later. Flutter-like oscillations and gaze nystagmus were noted. These neurological signs and symptoms were found to have been caused by varicella-zoster virus infection via an auto-immune mechanism.
Key words :acute cerebellar ataxia, Ramsay Hunt syndrome, dizziness, flutter-like oscillation,
varicela-zoster virus