Ramsay Hunt Syndrome Questions & Answers

Updated: Jul 16, 2018
  • Author: Sombat Muengtaweepongsa, MD, MSc; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Questions & Answers

Overview

What is Ramsay Hunt syndrome (herpes zoster oticus)?

What can be observed in Ramsay Hunt syndrome (herpes zoster oticus)?

Which cranial nerves are involved in the pathogenesis of Ramsay Hunt syndrome?

What syndromes are caused by varicella-zoster virus (VZV)?

What is the main pathophysiological mechanism of Ramsay Hunt syndrome?

What is the prevalence of Ramsay Hunt syndrome?

What disease is thought to be caused by Ramsay Hunt syndrome?

What is the incidence of Ramsay Hunt syndrome among patients with HIV infection?

What is the prognosis of Ramsay Hunt syndrome?

Presentation

What is the presentation of Ramsay Hunt syndrome?

What are the signs and symptoms of Ramsay Hunt syndrome?

What are prognostic factors for poor recovery in Ramsay Hunt syndrome?

What are physical findings characteristic of Ramsay Hunt syndrome?

Where do rashes typically occur in Ramsay Hunt syndrome?

When is hearing impairment more severe in Ramsay-Hunt syndrome?

Which physical exams should be performed in suspected Ramsay Hunt syndrome?

What causes Ramsay Hunt syndrome?

What are complications of Ramsay Hunt syndrome?

DDX

What are the differential diagnoses for Ramsay Hunt Syndrome?

Workup

What is the role of lab testing in the diagnosis of Ramsay Hunt syndrome?

Which viral studies are performed in the diagnosis of Ramsay Hunt syndrome?

What is the role of imaging studies in the diagnosis of Ramsay Hunt syndrome?

What is the role of audiometry, ENG and EDX studies in the diagnosis of Ramsay Hunt syndrome?

What is the role of CSF analysis in the diagnosis of Ramsay Hunt syndrome?

How is otalgia managed in Ramsay Hunt syndrome?

Which histologic findings are characteristic of Ramsay Hunt syndrome?

Which scales are used to assess facial muscle weakness in Ramsay Hunt syndrome?

What are the classifications of facial muscle weakness in Ramsay Hunt syndrome?

Treatment

What are the treatment goals for Ramsay Hunt syndrome?

What are the treatment options for Ramsay Hunt syndrome?

Which medications are used in the treatment of Ramsay Hunt syndrome?

Which specialists should be consulted in the treatment of Ramsay Hunt syndrome?

Medications

Which medications are used for treatment of Ramsay Hunt syndrome?

Which medications in the drug class Anticholinergics are used in the treatment of Ramsay Hunt Syndrome?

Which medications in the drug class Antihistamines are used in the treatment of Ramsay Hunt Syndrome?

Which medications in the drug class Anticonvulsants are used in the treatment of Ramsay Hunt Syndrome?

Which medications in the drug class Antivirals are used in the treatment of Ramsay Hunt Syndrome?

Which medications in the drug class Corticosteroids are used in the treatment of Ramsay Hunt Syndrome?

Follow-up

Following initial medical treatment of Ramsay Hunt syndrome, what monitoring is required?

How frequently does synkinesia develop in Ramsay Hunt syndrome?

What is the prognosis of Ramsay Hunt syndrome?

What information about Ramsay Hunt syndrome should patients receive?