Ramsay Hunt syndrome

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Definition

By Mayo Clinic staff

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Image of facial nerve
Facial nerve

Ramsay Hunt syndrome is an infection of your facial nerve that's accompanied by a painful rash and facial muscle weakness, among other signs and symptoms.

The cause of Ramsay Hunt syndrome is varicella-zoster virus, the same virus that causes chickenpox. After chickenpox heals, the virus lies dormant in your nerves. Years later, it may reactivate. If the virus reactivates and infects your facial nerve, the result is Ramsay Hunt syndrome.

The onset of Ramsay Hunt syndrome can be frightening. The symptoms may cause some people to fear they're having a stroke. But, there's often effective treatment for Ramsay Hunt syndrome. Sometimes, Ramsay Hunt syndrome can lead to permanent facial muscle weakness and hearing loss. Prompt treatment can reduce your risk of complications.

References
  1. Mattox, DE. Clinical disorders of the facial nerve. In: Cummings CW, et al. Otolaryngology: Head & Neck Surgery. 4th ed. St. Louis, Mo.; Mosby; 2005.
  2. Fort G, et al. Ramsay Hunt syndrome. In: Ferri FF. Ferri's Clinical Advisor 2009. St. Louis, Mo.: Mosby; 2008: 498.
  3. Mueller NH, et al. Varicella zoster virus infection: Clinical features, molecular pathogenesis of disease, and latency. Neurologic Clinics. 2008;26:675.
  4. Herpes zoster oticus information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/ramsay2/ramsay2.htm. Accessed Nov. 16, 2008.
  5. Shingles: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/shingles/detail_shingles.htm#124173223. Accessed Nov. 16, 2008.
  6. Ramsay Hunt syndrome: Treatment. Ramsay.org. http://www.ramsayhunt.org/treat.shtml. Accessed Nov. 16, 2008.
  7. Herpes zoster oticus. The Merck Manuals Online Medical Library: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec08/ch086/ch086e.html. Accessed Nov. 16, 2008.
  8. Recommended immunization schedule for persons aged 0-6 years - United States, 2008. Department of Health and Human Services. http://www.aafp.org/online/etc/medialib/aafp_org/documents/clinical/immunization/childsched.Par.0001.File.tmp/08childsched.pdf. Accessed Nov. 16, 2008.

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Jan. 9, 2009

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