The symptom-complex of the acute posterior poliomyelitis of the geniculate, auditory, glossopharyngeal and pneumogastric ganglia / J. Ramsay Hunt.

  • Hunt, James Ramsay, 1872-1937.
Date:
1910
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Licence: In copyright

Credit: The symptom-complex of the acute posterior poliomyelitis of the geniculate, auditory, glossopharyngeal and pneumogastric ganglia / J. Ramsay Hunt. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    later, the patient was still subject to nuralgic pains in the ear, very sharp and shooting in character and causing a distinct reflex jerk of the head. Ihe hearing was normal. Comment.—This case is interesting because of the persistent and severe post- herpetic otalgia and the localization of the herpetic vesicles, posteriorly, in the cleft between the auricle and mastoid pi'ocess, within the distribution of the auricular branch of the vagus (Fig. 3). Case 4.—Herpes Zoster Oticus ivith Facial Palsy.— (Referred from the New York Eye and Ear Infirmary, by Dr. Robert G. Reese). J. M., aged 19, was exposed to cold on Feb. 1, 1909; this was followed by coryza and chilly sensations. The next day there were pains in the depths of the left ear, concha and mastoid region, which were so severe during the night that the patient could not sleep. On Feb- ruary 5, there was a ])aralysis of the left side of the face; but no tinnitus, and the Fig. 4 (Case 4).—Peripheral facial palsy in conjunction with an eruption of herpes zoster in the cleft between the auricle and the mastoid process, in the dis- tribution of the auricular branch of the vagus. hearing was undisturbed (Fig. 4). Examination on February 9 showed complete facial ])alsy with ageusia in the distribution of the left chorda tyinpani. Hearing was nonnal. An eruption of herpes zoster was distributed posteriorly in the cleft between the auricle and mastoid region. (See Fig. 5.) Comment.—This case is interesting because of the situation of tlie eruption in the distribution of the auricular branch of the vagus, and the associated facial palsy, which I attribute to an inflammatory reaction in the geniculate ganglion of the seventh nerve. Ca.se 5.—Herpes Zoster Oticus with Facial Patsy.— (Referred by Dr. Josephine Walter of New York City.) Miss S., aged 30, in good health. Onset the last week