Herpetic inflammations of the geniculate ganglion : a new syndrome and its aural complications / by J. Ramsay Hunt.

  • Hunt, James Ramsay, 1872-1937.
Date:
[1907]
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Licence: In copyright

Credit: Herpetic inflammations of the geniculate ganglion : a new syndrome and its aural complications / by 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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    The distribution of the eruption in these cases was as follows: Herpes occipito-collaris 9 cases Herpes auricularis 7 “ Herpes facialis 4 “ Before leaving this subject I would call attention to the occasional presence of auditory symptoms in cases of herpes about the face and neck in which facial palsy was absent. Gruber1 noted in his cases of herpes auris that there were tinnitus and diminished hearing, and referred these to a probable reflex involvement of the auditory nerve. The same peculiarity was observed by Vail2 in his case of herpes auris. As facial palsy in these cases is often very transient, it may possibly have been overlooked, for if, as I infer, the auditory symptoms are dependent upon an extension of the inflammation from the geniculate, one would hardly expect to find them present without facial palsy, as the inflammation must traverse the trunk of the seventh to reach that of the eighth. I also find that in some cases of herpes facialis auditory symptoms were present without facial palsy (Casse 3 and Burin-Desrozier4), so the thought naturally suggests itself that the ganglia of the acoustic nerve may also be brought within the realm of the specific infection of herpes. (See Fig. 2.) It will be recalled in this relation that the ganglion acousticum is an outgrowth of the so-called neural ridge, from which the Gasserian, geniculate, and posterior spinal ganglia take their origin. In the course of de- velopment the cells of the geniculate ganglion assume the spinal unipolar type, whereas those of the acoustic 1 “Herpes auricularis, Monats. f. Ohrenheilk., 1875, No. 5. 2 “Herpes zoster auris,” Jour. Laryngol. and Rhinol., 1907. 3 “Zona de la troisieme branche du trijumeau, ” These de Paris 1901. 4 “Zona de la deuxieme branche du trijumeau,” Th&se de Paris, 1904.