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.
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1.
Arvin AM. Varicella Zoster Virus. Facial Nerve Palsy. In: Long Sarah S. Principles and practice of pediatric infectious diseases. Elsevier Saunders-Philadelphia 2012; 1035-1041.
Szenborn L, Kraszewska-Głomba B, Jackowska T, et al. Polish consensus guidelines on the use of acyclovir in the treatment and prevention of VZV and HSV infections. J Infect Chemother 2016; 22: 65-71.
Monsanto R, Bittencourt AG, Neto NJ, et al. Treatment and prognosis of facial palsy on Ramsay Hunt syndrome: results based on a review of the literature. Int Arch Otorhinolaryngol 2016; 20: 394-400.
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