小児Ramsay Hunt症候群の3例

Three cases of Ramsay Hunt syndrome in children

I．はじめに

　小児期におけるRamsay Hunt症候群の発症頻度は，全顔面神経麻痺症例の2.3～3.9％^1,2）と低い。一般に予後は成人と比較し良好であるとされているが，成人と変わらないとする報告^1,3）もあり，その治療法についても一定の見解が得られていない。今回われわれは，3例の小児Ramsay Hunt症候群症例に対してアシクロビルとプレドニゾロンの併用療法を施行し良好な結果を得たので，若干の文献的考察を加え報告する。

Ramsay Hunt syndrome is rare among children. It has been reported that the frequency of this syndrome among all of the pediatric facial paresis cases is 0.5～10.5％ in infants and toddler and 3.7～24.4％ in school-age-children,respectively. Although prognosis of this syndrome in children is better than that in adults,the treatment is still controversial. We obtained satisfactory results in the treatment of three cases of Ramsay Hunt syndrome in children by administeration of acyclovir and predonisolone.