Hunt syndrome symptoms?
summary
Hunt syndrome, or herpes zoster, is a disease caused by varicella zoster virus infection. A group of special symptoms caused by facial nerve geniculate ganglion herpesvirus infection, mainly manifested as one side ear pain, ear herpes, can appear ipsilateral peripheral facial paralysis, accompanied by hearing and balance disorders, it is also known as geniculate ganglion syndrome. Ramsey Hunt syndrome is also called Ramsey Hunt syndrome because it was first described by Ramsey hunt in 1907. Hunt syndrome symptoms? I'd like to share my views with you.
Hunt syndrome symptoms?
1. Prodromal symptoms: general discomfort, low fever, headache, loss of appetite, etc.
2. Earache and neuralgia first appear acute pain in auricle, ear canal and behind ear, burning pain, sometimes trigeminal neuralgia, but no trigger point. It can radiate to pharynx and face. Neuralgia can last for months or even years.
3. Herpes appeared in the auricle (especially in the concha cavity), the mouth of the ear canal, the ear canal and the skin behind the ear, and then local skin congestion, swelling, erosion and blisters. Most herpes occurs before facial paralysis. The pustules scab and fall off in 2-3 weeks. The location of herpes is related to the distribution of afferent nerve fibers. It can be found along the auricle and auditory canal, in the area of V, IX, X cranial nerve, or in the branch of cervical nerve. Therefore, herpes can be found in oral cavity, buccal mucosa, soft palate, tonsil, tongue base, throat and neck. And accompanied by pain in these parts.
matters needing attention
(1) Glucocorticoid can reduce the inflammatory reaction and detumescence of the facial nerve in the acute stage, and reduce the compression in the bone canal of the facial nerve with fixed diameter, so as to reduce the degree of compression and microcirculation disturbance of the facial nerve due to edema thickening. Therefore, glucocorticoid treatment is the primary and main drug treatment of the disease. It can also relieve pain effectively. Pay attention to diabetes, tuberculosis, gastric ulcer and pregnant women. Hypertension should be controlled（ 2) Antiviral drugs can interfere with herpesvirus DNA polymerase and inhibit DNA replication. Acyclovir, ganciclovir, famciclovir or valaciclovir are commonly used. Topical application of acyclovir ointment to ear and peripheral herpes, 1-3 times a day, can control local virus replication, promote herpes scab and shedding, and promote local skin healing（ 3) Neurotrophins such as vitamin B1 and vitamin B12 were injected intramuscularly or orally（ 4) The drugs to improve the microcirculation of facial nerve were Ginkgo biloba extract or other drugs to dilate blood vessels and improve microcirculation by intravenous injection or oral administration（ 5) Painkillers can be used properly in case of severe ear pain（ 6) Anti vertigo medicine tea such as benhaiming and diazepam can be used to relieve vertigo（ 7) Eye ointment and eye drops can be applied to the affected eye at night, such as tetracycline or erythromycin eye ointment, and eye mask can be used to protect the eyes. Artificial tears can be used when the tears are reduced.
