多発性脳神経症状を示したHunt症候群の1例

HUNT'S SYNDROME WITH MANIFESTATIONS OF CRANIAL NERVE SYMPTOMS

　I．はじめに

　Hunt症候群は，耳介および耳介周囲の有痛性の水疱性発疹，顔面神経麻痺，内耳神経症状などを示す疾患で，顔面神経膝状節のウイルス性炎症によるものと一般に認められているが，顔面神経膝状節のみならず他の神経節も軽度の炎症を示していることが多い。したがつて炎症が強度となれば，顔面神経，内耳神経のみならず他の脳神経症状を示してくる。今回われわれは，IV・V・VI・VII・VIII・IX脳神経障害ないし刺激症状を来たしたHunt症候群の1例を経験したので報告する。

　A case of Hunt's syndrome is reported. A man, aged 72, complained of hypopharyngeal pain at first which then changed to constant otalgia in the right ear with herpetic breakouts in the ear canal and the auricle. But, there no loss of hearing. The patient also developed a right sided facial palsy, double vision, vertigo and gait disturbance.

　The characteristic symptoms of this disease are the presence of severe vestibular symptoms with disorders in ocular movements as well as other signs of cranial nerve disturbances.

　Remission in all symptom manifestations were seen except for the facial nerve palsy after 4 weeks of treatment.