다발성 뇌신경 마비와 뇌수막염을 동반한 이성 대상포진 3예

Ramsay Hunt syndrome is caused by varicella zoster; the herpes virus that also cause chiken pox and shingles. It’s typical clinical symptoms include otalgia, facial palsy and an auricle vesicle. And frequently accompanied with sensorineural hearing loss, vertigo and tinnitus. This syndrome can affect any cranial nerve and usually affects multiple cranial nerves. Ralely, it may be associated with aseptic meningitis, and the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). With a review of literature, we report three rare cases. The first case is a 62-year-old male with Ramsay Hunt syndrome complicated with cranial nerve VII, VIII palsies and meningitis. The second case is a 57-year-old male with Ramsay Hunt syndrome complicated with cranial nerve V, VII and VIII palsied and meningitis. The third case is a 44-year-old female with Ramsay Hunt syndrome complicated with cranial nerve VII, VIII, IX and X palsied and meningitis. (J Clinical Otolaryngol 2011;22:227-230)