Ramsay-Hunt Syndrome

Ramsay Hunt Syndrome is the reactivation of varicella zoster in the geniculate ganglion of the facial nerve.

It is characterised by:
  • herpes zoster oticus (=herpetic eruption in external auditory meatus)
  • facial nerve palsy
  • +/- deafness, tinnitus and vertigo
Treatment is with oral antivirals and prednisolone.

The prognosis is less good than for Bell’s Palsy – patients are less likely to make a full recovery.

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Secret collector of interesting anonymised ECGs. Fan of the Bath Photomarathon. Lover of cream teas. [Sarah Hudson] (Your Picture)