Virology Question and Answer Scheme (VIROQAS)
Ramsay Hunt syndrome with trochlear nerve involvement and EEG abnormalities: Multicranial neuritis or encephalitis?

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Case presentation

A 69-year-old woman was admitted to the emergency room with vomit and vertigo since two days before. She was under treatment for hypertension, hypercholesterolemia and hyperuricemia. A brain computed tomography was normal.

At the admission to our department she had fever (38.8 °C). Neurological examination showed rotatory right-beat nystagmus and vertical diplopia on right and down gaze direction. She had no consciousness impairment. The following day she developed complete left facial palsy. At

Funding

None.

Competing interests

None declared.

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