Ramsay Hunt syndrome

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Symptoms

By Mayo Clinic staff

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Image of facial weakness
Facial weakness

Signs and symptoms of Ramsay Hunt syndrome include:

  • A painful red rash with fluid-filled blisters on your eardrum, external ear canal, the outside of your ear, the roof of your mouth (palate) or your tongue
  • Facial weakness (palsy) on the same side as the affected ear
  • Difficulty closing one eye
  • Ear pain
  • Hearing loss
  • Ringing in your ears (tinnitus)
  • A sensation of spinning or moving (vertigo)
  • A change in taste perception or loss of taste

When to see a doctor
If you experience weakness on one side of your face or if you develop a rash in or around your ear or in your mouth along with facial weakness, call your doctor for an urgent evaluation. Ramsay Hunt syndrome isn't a condition that requires emergency care. But, diagnosis and treatment within seven days of the start of signs and symptoms may help prevent long-term 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.

DS00878

Jan. 9, 2009

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