Abstract
Hunt syndrome is a disease caused by an infection of the geniculate ganglion by the varicella -zoster virus reactivation. It considered to be one type of disease of herpes zoster which mainly produces facial nerve palsy.
One morning in May two years ago, the right side of facial nerve palsy suddenly appeared. Generally tiredness had arisen from ten days before the onset of facial nerve palsy. Moreover, there was displeasure of the parotid gland from the several days before, and an upper pharynx pain and ear pain appeared from 2 or 3 days before of the onset. Although it was partial facial nerve palsy at the onset of Hunt syndrome, it became complete facial palsy within 2 or 3 days. Medical treatment with an anti-viral medicine and steroid medicine was started. Six weeks afterward of the onset it became 8 points of 40 points (by Yanagihara method) and 8% in ENoG, and I was diagnosed as sever Hunt syndrome.
Now, it has improved even to such a degree that palsy is hardly conspicuous with a photograph, though partial facial nerve palsy, pathological synkinesia, facial contracture and facial spasm are remains as a sequel. The rehabilitation of the facial nerve palsy may be an effective therapeutic method for the sever Hunt syndrome.
