Ramsay Hunt Syndrome in a Pregnant Woman - A Case Report

一懷孕婦女的耳性帶狀疱疹：一病例報告

蔡宏彥(Hung-Yen Tsai) ； 楊怡和(Yi-Ho Young)

《慈濟醫學雜誌》 13卷2期 (2001/06) Pp. 137-141

https://doi.org/10.6440/TZUCMJ.200106.0137

摘要

本文報告一37歲女性於懷孕26週(2003年3月)時，發生眩暈，右側耳廓疱疹、耳痛、併顏面神經麻痺的現象，而前來求診。經檢查後發現其右側有第V級顏面神經麻痺，且病側的溫差試驗及前庭誘發肌性電位皆無反應。此產婦給予口服acyclovir五天治療後出院，但直到生產前，顏面神經麻痺並無恢復。然而，在產下一個健康男嬰一個月後(2000年9月)，其顏面神經麻痺及溫差試驗恢復正常，唯前庭誘發肌性電位仍無反應。由此案例可知，在懷孕婦女發生耳性帶狀疱疹時，可給予口服之acyclovir治療，對胎兒無任何不良之影響，且對顏面神經麻痺的預後良好。

關鍵字

耳性帶狀疱疹 ； 懷孕 ； 顏面神經麻痺

並列摘要

We report on a pregnant woman with Ramsay Hunt syndrome whose facial palsy recovered after delivery. A 37-year-old woman had vertigo, as well as facial palsy, otalgia, and auricular eruption on the right side at 26 weeks gestation. Grade V facial palsy, absent caloric response, and absent vestibular evoked myogenic potential (VEMP) response were noted on the right side. Oral acyclovir (400 mg, five times daily) was administered consecutively for 5 days. She delivered a healthy baby 3 months later. Her facial palsy recovered and canal palsy returned to normal. In conclusion, Ramsay Hunt syndrome in pregnant women can be treated with oral acyclovir, resulting in a fair outcome of facial palsy in the mother, and no congenital anomalies in the child.

並列關鍵字

Ramsay Hunt syndrome ； pregnancy ； facial palsy