Abstract

In the observation and therapy of patients with herpes zoster oticus, who have disturbances of several cranial nerves, only conspicuous symptoms such as facial nerve palsy and auricular vesicles are usually regarded as important. Sometimes, however, continuous observation of these patients shows vestibular dysfunction, even if they do not complain of vertigo or disequilibrium. In patients suffering from this syndrome, damage of the vestibular nerve sometimes remains after good recovery of other affected cranial nerves. While vestibular dysfunction persists these patients must move carefully, especially in the dark.An 18-year-old female had right tinnitus, right sensorineural hearing loss, right facial palsy, disequili-brium and vesicles in the right pinna and external auditory meatus. Positional nystagmus was tested many times with electronystagmography until it dis-appeared. For one year vestibular function was examined after recoverv of the other cranial nerves.

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