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題 名 | Ramsay Hunt Syndrome in a Pregnant Woman--A Case Report=一懷孕婦女的耳性帶狀疱疹:一病例報告 |
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作 者 | 蔡宏彥; 楊怡和; | 書刊名 | 慈濟醫學 |
卷 期 | 13:2 2001.06[民90.06] |
頁 次 | 頁137-141 |
分類號 | 416.8 |
關鍵詞 | 耳性帶狀疱疹; 懷孕; 顏面神經麻痺; Ramsay hunt syndrome; Pregnancy; Facial palsy; |
語 文 | 英文(English) |
中文摘要 | 本文報告一37 歲女性於懷孕26 週 (2000年3月)時,發生眩暈,右側 耳廓皰疹、耳痛、併顏面神經麻痺的現象,而前來求診。經檢查後發現其右側有 第V級顏面神經麻痺,且病側的溫差試驗及前庭誘發肌性電位皆無反應。此產 婦給予口服 acyclovir 五天治療後出院,但直到生產前,顏面神經麻痺並無恢復。 然而,在產下一個健康男嬰一個月後(2000年9月),其顏面神經麻痺及溫差試驗 恢復正常,唯前庭誘發肌性電位仍無反應。由此案例可知,在懷孕婦女發生耳性 帶狀皰疹時,可給予口服之 acyclovir 治療,對胎兒無任何不良之影響,且對顏 面神經麻痺的預後良好。(慈濟醫學2001; 13:137-141) |
英文摘要 | We report on a pregnant woman with Ramsay Hunt syndrome whose facial palsy recovered after delivery. A 37-year-old woman had vertigo, as well as facial palsy, otalgia, and auricular eruption on the right side at 26 weeks gestation. Grade V facial palsy, absent caloric response, and absent vestibular evoked myogenic potential (VEMP) response were noted on the right side. Oral acyclovir (400 mg, five times daily) was administered consecutively for 5 days. She delivered a healthy baby 3 months later. Her facial palsy recovered and canal palsy returned to normal. In conclusion, Ramsay Hunt syndrome in pregnant women can be treated with oral acyclovir, resulting in a fair outcome of facial palsy in the mother, and no congenital anomalies in the child. (Tzu Chi Med J 2001; 13:137-141) |
本系統中英文摘要資訊取自各篇刊載內容。