A further contribution to the herpetic inflammations of the geniculate ganglion : a syndrome characterized by herpes zoster oticus, facialis, or occipitocollaris, with facial palsy and auditory symptoms / by J. Ramsay Hunt.

  • Hunt, James Ramsay, 1872-1937.
Date:
1908
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Licence: In copyright

Credit: A further contribution to the herpetic inflammations of the geniculate ganglion : a syndrome characterized by herpes zoster oticus, facialis, or occipitocollaris, with facial palsy and auditory symptoms / by J. Ramsay Hunt. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Extracted from the American J the Medical Sciences, August, A FURTHER MATIONS OF RPETIC INFLAM- GANGLION. A SYNDROME CHARACTERIZED BY HERPES ZOSTER OTICUS, FACIALIS, OR OCCIPITOCOLLARIS, WITH FACIAL PALSY AND AUDITORY SYMPTOMS. By J. Ramsay Hunt, M.D., CHIEF OF THE CLINIC AND INSTRUCTOR IN NERVOUS DISEASES IN THE CORNELL UNIVERSITY MEDICAL SCHOOL, NEW YORK; NEUROLOGIST TO THE CITY HOSPITAL; CONSULTING NEU- ROLOGIST TO THE BABIES’ HOSPITAL, AND THE NEW YORK EYE AND EAR INFIRMARY. This communication is a further elaboration of a syndrome presented at the American Neurological Association, in June, 1906.1 At that time, three well-recognized clinical types of henjj^ zoster of the face and neck, with facial palsy and acoustic symptoms, were fused into a single group. The characteristic symptoms were attributed to a specific, herpetic inflammation ('posterior 'poliomyelitis) of the geniculate ganglion of the facial nerve; and the neural complications, to an extension of the inflammatory process to the adjacent seventh and eighth nerves (Fig. 1). The zoster zone for the geniculate ganglion was thought to be intercalated between the zones of the Gasserian in front and the ceTvical ganglia behind, and situated on the tympanum, auditory canal, and interior parts of the auricle. The distinctive features of the clinical picture are as follows: Herpes facialis, herpes oticus, or herpes occipitocollaris, with facial palsy; and in some of the cases irritative and paralytic symptoms referable to the acoustic nerve. The subject matter of the paper may be conveniently considered under the following headings: I. The syndrome and its clinical types. A. Herpes oticus. B. Herpes oticus, with facial palsy. C. Herpes oticus, with facial palsy and hypo-acousis. D Herpes oticus, with facial palsy and Meniere’s complex. 1 Herpetic Inflammations of the Geniculate Ganglion: A New Syndrome and its Com- plications, Trans. Amer. Neur. Assoc., 1906; Jour, of Nerv. and Ment. Dis., February, 1907; Archives of Otology, August, 1907.