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ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
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4/2021
vol. 96
 
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abstract:
Case report

Facial nerve palsy in the course of herpes zoster infection – challenges in the treatment and prognosis

Maja Pietrzak
1
,
Maria Śpiewak-Pokorska
1, 2
,
Magdalena Pluta
1, 2
,
Magdalena Marczyńska
1, 2

  1. Pediatric Infectious Diseases Unit, Regional Hospital of Infectious Diseases in Warsaw, Warsaw, Poland
  2. Department of Children’s Infectious Diseases, Medical University of Warsaw, Warsaw, Poland
Pediatr Pol 2021; 96 (4): 275–280
DOI: https://doi.org/10.5114/polp.2021.110554
Online publish date: 2021/12/09
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Facial nerve palsy occurs in paediatric population with the incidence of 4.2-15.3/100 000. In most cases etiology remains unknown (Bell’s palsy – idiopathic facial nerve palsy). Infectious agents account for around 25% of cases. This paper describes 2 cases of facial nerve palsy due to herpes zoster infection: a 9-year-old girl with vesicular lesions on the right side of the neck and face with concomitant right sided facial nerve palsy, and a 16-year-old boy* with lesions located in the left external auditory meatus who developed Ramsay-Hunt syndrome. The course of the disease and response to treatment in both patients was significantly different.
keywords:

Ramsay-Hunt syndrome, facial palsy, Herpes zoster