Ramsay Hunt Syndrome Follow-up

Updated: Jun 08, 2017
  • Author: Sombat Muengtaweepongsa, MD, MSc; Chief Editor: Niranjan N Singh, MD, DM  more...
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Follow-up

Further Outpatient Care

After initiation of medical therapy, the patient with Ramsay Hunt syndrome should be seen in follow-up at 2 weeks, 6 weeks, and 3 months.

Synkinesia, abnormal movements that accompany intended voluntary facial movements, may develop during recovery following Ramsay Hunt syndrome. The occurence rate of synkinesia is higher in Ramsay Hunt syndrome than in Bell's palsy. Up to 45% of patients with Ramsay Hunt syndrome experience synkinesia. Severe facial weakness documented by electroneurography (ENoG) is a predictor for development of synkinesia. [26]

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Prognosis

In general, prognosis is good for the resolution of symptoms. However, fewer than 50% of patients have complete recovery of facial function.

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Patient Education

The patient should be educated concerning care of the eyes to prevent corneal irritation or injury.

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