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All Journal Acta Neurologica Indonesia
Gavrila, Priska Gian
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Medicine & Pharmacology Neuroscience Public Health

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RAMSAY HUNT SYNDROME: A CASE REPORT Gavrila, Priska Gian; Rizaldy Taslim Pinzon
Acta Neurologica Indonesia Vol. 3 No. 01 (2025): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v3i01.47

Abstract

Introduction : Ramsay Hunt Syndrome or Herpes Zoster Oticus, is a rare and severe complication of varicella zoster virus reactivation. The syndrome consists of: the presence of vesicles in the auditory canal, otalgia, and ipsilateral facial paralysis. If this condition was not treated properly, the full recovery chances only occurs in as little at 20% of cases. Early treatment with steroid and antiviral that started within 72 hours will improve the prognosis. We report a rare case of Ramsay Hunt Syndrome that occurs after 20 days of rash eruption. Case Report : We report a case of 56-year-old male that referred because of painful herpetic neuralgia and facial nerve palsy. The patient developed right-sided facial burning pain that followed with the presence of erythematous, vesicular rash erupted at fore head and ear. Exam showed a similar rash along the auricle and the external auditory canal. On day 24, the patient woke up with partial right-sided facial paralysis and he was referred to the neurology clinic. In the neurology clinic, Ramsay Hunt Syndrome was diagnosed. Discussion : We report a rare case of Ramsay Hunt Syndrome. The mechanism involve reactivation of dormant varicella zoster virus. After primary varicella infection, the virus may stay dormant in sensory dorsal root ganglia. The reactivation causes shingles, ipsilateral vesicular eruption that limited with dermatomal distribution. Conclusion : We report a rare case of Ramsay Hunt Syndrome. This was a very rare complications of varicella zoster reactivation. Keywords: Neuralgia1; Facial Palsy2; Ramsay Hunt3 ; Varicella Zoster4
Asymmetric Spinal Cord Compression by Intradural Extramedullary Tumor at Thoracic Level: A Case Report Gavrila, Priska Gian; Dermoredjo, Sutaryanu
Acta Neurologica Indonesia Vol. 4 No. 01 (2026): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

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Abstract

Background: Spinal tumors are a rare type of tumor, accounting for approximately 15% of all tumors in the central nervous system. Most cases occur in individuals of working age. Symptoms may include localized pain or radiating pain to the extremities, and in some cases, severe motor deficits. Back pain tends to develop gradually, is independent of activity, and may worsen when lying down. CT scans, MRI, histopathological, and immunohistochemical examinations assist in establishing the diagnosis. The primary management of spinal tumors is surgical intervention, with the surgical approach varying depending on the type of tumor. Objective: To report the case of a 44-year-old female patient with a spinal tumor treated at Bethesda Hospital Yogyakarta. Case Description: A 44-year-old female presented with complaints of back pain lasting one month and bilateral lower extremity edema. In 2014, the patient experienced a fall in the bathroom resulting in loss of consciousness, and she undergoes spinal surgery in 2022. A non-contrast MRI revealed an intradural extramedullary mass at the level of thoracic vertebrae T2–T3, located on the left posterolateral aspect. Histopathological examination showed tumor tissue consistent with meningothelial and psammomatous meningioma, with a differential diagnosis of schwannoma. The patient undergoes a laminectomy as definitive management. Conclusion: Spinal tumors often present with pain and may result in severe motor deficits. Diagnosis is supported by imaging studies, histopathology, and immunohistochemistry to guide appropriate management.
Co-Authors Dermoredjo, Sutaryanu Rizaldy Taslim Pinzon