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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    Case 6.—Herpes Zoster with Facial Palsy.— (Referred by Dr. X. E. Xorton of Xew York.) Miss F., aged 22. Onset Oct. 24, 1909, with nenralgic pains in and about the left ear, and wlien severe, radiating through the left side of the face and liead. From the first, there was also tinnitus aurium and a distinct sensitive- ness to high-pitched sounds (hyperacusis). A few days later, a small group of herpetic vesicles made their a]>pearance and were distributed on the floor of the auditory canal at the entrance to the meatuS, in the concha and beneath the fold of the antiheli.x. On Xovember 7, a left facial palsy appeared. Examination on Xovember 11 showed a ])aralysis of the left side of the face; all branches were involved; hearing normal. Taste lost in the left chorda distribution. Tear secre- tion was increased on the left side. (Inhalation of oil of mustard.) Palate in- nervation normal. On Xovember 18, facial palsy was much improved, only a trace remaining; still occasional slight pains in the ear. Fig. 0 (Case 8).—Herpes zostei' oticus with facial palsy. Tlie herpetic vesicles are situated on the tragus, antitragus, concha and the lobule. Swelling and edema of the central part of the auricle. Comment.—In this case, hyperacusis and tinnitus aurium had definitely pre- ceded the onset of facial jialsy, and so cannot be attributed to an interference with the action of the stapedius muscle, as in oxyecoia; it may therefore be regarded as a mild expression of auditory nerve irritation. Case 7.—Herpes Zoster Oticus with Facial Palsy.— (Referred by Dr. E. G. Zabriskie of Xew York.) Mrs. S. K., agetl 50. Onset October 29, with sharp, shooting pains in the left side of the head, in the occipital and temporal regions. On Wednesday, the pains were severe and chiefly centered in the mastoid region, just behind the auricle. On Wednesday evening, a left facial palsy was apparent; there was also an itching in the auricle and an eruption of herpes zoster. Xo