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
Catalogue details

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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    in October, 1909, with neuralgic pains in the right ear, occipital region and right side of the face. A few days later, “a sore throat on the right side which was slightly swollen and inflamed.” (E.\amination by ship-surgeon.) At the same time there appeared a small group of herpetic vesicles in the concha of the right ear. The antitragus was swollen, red and tender. A right facial palsy appeared on November 6; hearing normal. November 26, the facial innervation was grad- ually improving on the right side, although evidences of paresis in all three branches were still present; hearing normal; taste normal. The desiccated Fig. 5 (Case 4).—An eruption of her])es zoster, limited to the distribution of the vagus on the posteromesial surface of the auricle, and adjacent mastoid. remains of the vesicles were still evident in the concha! region; none within the auditory canal. Neuralgic pains still persisted in the ear. There was a distinct paresis of the soft palate on the affected side, and on innervation the uvula was drawn upward and to the left. Comment.—This case is of interest because of the localized “sore throat” on the right side and the associated paresis of the right side of the soft palate in conjunction with herpes oticus and seventh nerve palsy.