Ramsay Hunt Syndrome Questions & Answers

1. Bhupal HK. Ramsay Hunt syndrome presenting in primary care. Practitioner. 2010 Mar. 254(1727):33-5, 3. [QxMD MEDLINE Link].

2. Goldani LZ, Ferreira da Silva LF, Dora JM. Ramsay Hunt syndrome in patients infected with human immunodeficiency virus. Clin Exp Dermatol. 2009 Jun 1. [QxMD MEDLINE Link].

3. Kleinschmidt-DeMasters BK, Gilden DH. The expanding spectrum of herpesvirus infections of the nervous system. Brain Pathol. 2001 Oct. 11(4):440-51. [QxMD MEDLINE Link].

4. Haginomori S, Ichihara T, Mori A, Kanazawa A, Kawata R, Tang H, et al. Varicella-zoster virus-specific cell-mediated immunity in Ramsay Hunt syndrome. Laryngoscope. 2016 Jan. 126 (1):E35-9. [QxMD MEDLINE Link].

5. Sandoval C C, Nunez F A, Lizama C M, Margarit S C, Abarca V K, Escobar H R. [Ramsay Hunt syndrome in children: four cases and review]. Rev Chilena Infectol. 2008 Dec. 25(6):458-64. [QxMD MEDLINE Link].

6. [Guideline] Gilchrist JM. Seventh cranial neuropathy. Semin Neurol. 2009 Feb. 29(1):5-13. [QxMD MEDLINE Link].

7. Gunbey HP, Kutlar G, Aslan K, Sayit AT, Incesu L. Magnetic Resonance Imaging Evidence of Varicella Zoster Virus Polyneuropathy: Involvement of the Glossopharyngeal and Vagus Nerves Associated With Ramsay Hunt Syndrome. J Craniofac Surg. 2016 May. 27 (3):721-3. [QxMD MEDLINE Link].

8. Kim CH, Kang SI, Kim YH. A case of ramsay hunt syndrome with cranial polyneuropathy. Korean J Audiol. 2012 Sep. 16 (2):80-2. [QxMD MEDLINE Link]. [Full Text].

9. Shin DH, Kim BR, Shin JE, Kim CH. Clinical manifestations in patients with herpes zoster oticus. Eur Arch Otorhinolaryngol. 2016 Jul. 273 (7):1739-43. [QxMD MEDLINE Link].

10. Ryu EW, Lee HY, Lee SY, Park MS, Yeo SG. Clinical manifestations and prognosis of patients with Ramsay Hunt syndrome. Am J Otolaryngol. 2011 Nov 8. [QxMD MEDLINE Link].

11. Kim CH, Choi H, Shin JE. Characteristics of hearing loss in patients with herpes zoster oticus. Medicine (Baltimore). 2016 Nov. 95 (46):e5438. [QxMD MEDLINE Link].

12. Shen YY, Dai TM, Liu HL, Wu W, Tu JL. Ramsay Hunt Syndrome Complicated by Brainstem Encephalitis in Varicella-zoster Virus Infection. Chin Med J (Engl). 2015 Dec 5. 128 (23):3258-9. [QxMD MEDLINE Link]. [Full Text].

13. Sun WL, Yan JL, Chen LL. Ramsay Hunt syndrome with unilateral polyneuropathy involving cranial nerves V, VII, VIII, and XII in a diabetic patient. Quintessence Int. 2011 Nov-Dec. 42 (10):873-7. [QxMD MEDLINE Link]. [Full Text].

14. Ganesan V, Bandyopadhyay D, Kar SS, Choudhury C, Choudhary V. Herpes Zoster Infection Involving Mandibular Division of Trigeminal Nerve and Ramsay Hunt Syndrome with Meningitis in an Immunocompetent Patient: A Rare Association. J Clin Diagn Res. 2016 Jun. 10 (6):OD05-7. [QxMD MEDLINE Link]. [Full Text].

15. Coffin SE, Hodinka RL. Utility of direct immunofluorescence and virus culture for detection of varicella-zoster virus in skin lesions. J Clin Microbiol. 1995 Oct. 33(10):2792-5. [QxMD MEDLINE Link]. [Full Text].

16. Lindström J, Grahn A, Zetterberg H, Studahl M. Cerebrospinal fluid viral load and biomarkers of neuronal and glial cells in Ramsay Hunt syndrome. Eur J Neurosci. 2016 Sep 19. [QxMD MEDLINE Link].

17. Naganawa S, Nakashima T. Cutting edge of inner ear MRI. Acta Otolaryngol Suppl. 2009 Feb. 15-21. [QxMD MEDLINE Link].

18. Chung MS, Lee JH, Kim DY, Lim YM, Ahn JH, Sung YS, et al. The clinical significance of findings obtained on 3D-FLAIR MR imaging in patients with Ramsay-Hunt syndrome. Laryngoscope. 2015 Apr. 125 (4):950-5. [QxMD MEDLINE Link].

19. Hur DM, Kim SH, Lee YH, Kim SH, Park JM, Kim JH, et al. Comparison of Transcranial Magnetic Stimulation and Electroneuronography Between Bell's Palsy and Ramsay Hunt Syndrome in Their Acute Stages. Ann Rehabil Med. 2013 Feb. 37 (1):103-9. [QxMD MEDLINE Link]. [Full Text].

20. Psillas, George Constantinidis, Jiannis Vital, Victor Tsalighopoulos, Miltiadis. Ramsay Hunt syndrome: Clinical analysis of 15 cases. Aristotle University Medical Journal. 2016. 35:43-49. [Full Text].

21. Byun H, Cho YS, Jang JY, Chung KW, Hwang S, Chung WH, et al. Value of electroneurography as a prognostic indicator for recovery in acute severe inflammatory facial paralysis: a prospective study of Bell's palsy and Ramsay Hunt syndrome. Laryngoscope. 2013 Oct. 123 (10):2526-32. [QxMD MEDLINE Link].

22. Hato N, Fujiwara T, Gyo K, Yanagihara N. Yanagihara facial nerve grading system as a prognostic tool in Bell's palsy. Otol Neurotol. 2014 Oct. 35 (9):1669-72. [QxMD MEDLINE Link].

23. Uscategui T, Doree C, Chamberlain IJ, Burton MJ. Antiviral therapy for Ramsay Hunt syndrome (herpes zoster oticus with facial palsy) in adults. Cochrane Database Syst Rev. 2008 Oct 8. CD006851. [QxMD MEDLINE Link].

24. Donati D, De Santi L, Ginanneschi F, Cerase A, Annunziata P. Successful response of non-recovering Ramsay Hunt syndrome to intravenous high dose methylprednisolone. J Neurol Sci. 2012 Jul 15. 318 (1-2):160-2. [QxMD MEDLINE Link].

25. Dworkin RH, Barbano RL, Tyring SK, et al. A randomized, placebo-controlled trial of oxycodone and of gabapentin for acute pain in herpes zoster. Pain. 2009 Apr. 142(3):209-17. [QxMD MEDLINE Link].

26. Morishima N, Yagi R, Shimizu K, Ota S. Prognostic factors of synkinesis after Bell's palsy and Ramsay Hunt syndrome. Auris Nasus Larynx. 2013 Oct. 40 (5):431-4. [QxMD MEDLINE Link].

27. Aizawa H, Ohtani F, Furuta Y, et al. Variable patterns of varicella-zoster virus reactivation in Ramsay Hunt syndrome. J Med Virol. 2004 Oct. 74(2):355-60. [QxMD MEDLINE Link].

28. Aviel A, Marshak G. Ramsay Hunt syndrome: a cranial polyneuropathy. Am J Otolaryngol. 1982 Jan-Feb. 3(1):61-6. [QxMD MEDLINE Link].

29. Byl FM, Adour KK. Auditory symptoms associated with herpes zoster or idiopathic facial paralysis. Laryngoscope. 1976. 86:372-9.

30. Furuta Y, Aizawa H, Ohtani F, et al. Varicella-zoster virus DNA level and facial paralysis in Ramsay Hunt syndrome. Ann Otol Rhinol Laryngol. 2004 Sep. 113(9):700-5. [QxMD MEDLINE Link].

31. Furuta Y, Ohtani F, Kawabata H, et al. High prevalence of varicella-zoster virus reactivation in herpes simplex virus-seronegative patients with acute peripheral facial palsy. Clin Infect Dis. 2000 Mar. 30(3):529-33. [QxMD MEDLINE Link].

32. Gnann JW Jr, Whitley RJ. Clinical practice. Herpes zoster. N Engl J Med. 2002 Aug 1. 347(5):340-6. [QxMD MEDLINE Link].

33. Hunt JR. On herpetic inflammations of the geniculate ganglion: a new syndrome of its complications. J Nerv Ment Dis. 1907. 34:73-96.

34. Kohler A, Chofflon M, Sztajzel R, Magistris MR. Cerebrospinal fluid in acute peripheral facial palsy. J Neurol. 1999 Mar. 246(3):165-9. [QxMD MEDLINE Link].

35. McKenna MJ, Rauch SD. Practical neurotology. The Practice of Neurosurgery. 1996. Vol: 199.

36. Pitkaranta A, Piiparinen H, Mannonen L, Vesaluoma M, Vaheri A. Detection of human herpesvirus 6 and varicella-zoster virus in tear fluid of patients with Bell''s palsy by PCR. J Clin Microbiol. 2000 Jul. 38(7):2753-5. [QxMD MEDLINE Link]. [Full Text].

37. Robillard RB, Hilsinger RL, Adour KK. Ramsay Hunt facial paralysis: clinical analyses of 185 patients. Otolaryngol Head Neck Surg. 1986 Oct. 95(3 Pt 1):292-7. [QxMD MEDLINE Link].

38. Whitley RJ. A 70-year-old woman with shingles: review of herpes zoster. JAMA. 2009 Jul 1. 302(1):73-80. [QxMD MEDLINE Link].

Sombat Muengtaweepongsa, MD, MSc Professor, Center of Excellence in Stroke, Associate Dean for Research and Innovations, Department of Neurology, Faculty of Medicine, Thammasat University, Thailand

Sombat Muengtaweepongsa, MD, MSc is a member of the following medical societies: American Academy of Neurology, Royal College of Physicians of Thailand

Disclosure: Serve(d) as a speaker or a member of a speakers bureau for: Boehringer Ingelheim; Astra Zeneca; Novo Nordisk; Daiichi Sankyo; Bayer<br/>Received research grant from: Faculty of Medicine, Thammasat University.

Puchit Sukphulloprat, MD Attending Neurologist, Division of Neurology, Department of Internal Medicine, Thammasat University Faculty of Medicine, Thailand

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Florian P Thomas, MD, PhD, MA, MS Chair, Neuroscience Institute and Department of Neurology, Director, Hereditary Neuropathy Center, Co-Director, Center for Memory Loss and Brain Health, Co-Director, ALS Center, Hackensack University Medical Center; Associate Dean of Faculty, Founding Chair and Professor, Department of Neurology, Hackensack Meridian School of Medicine

Florian P Thomas, MD, PhD, MA, MS is a member of the following medical societies: Academy of Spinal Cord Injury Professionals, American Academy of Neurology, American Neurological Association, Consortium of Multiple Sclerosis Centers, National Multiple Sclerosis Society, Sigma Xi, The Scientific Research Honor Society

Disclosure: Nothing to disclose.

Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM Adjunct Associate Professor of Neurology, University of Missouri-Columbia School of Medicine; Medical Director of St Mary's Stroke Program, SSM Neurosciences Institute, SSM Health

Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM is a member of the following medical societies: American Academy of Neurology, American Association of Neuromuscular and Electrodiagnostic Medicine, American Headache Society

Disclosure: Nothing to disclose.

Augusto A Miravalle, MD Fellow, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School

Augusto A Miravalle, MD is a member of the following medical societies: American Academy of Neurology

Disclosure: Nothing to disclose.

Deepak Awasthi, MD Clinical Professor, Department of Neurosurgery, Louisiana State University School of Medicine; Consulting Staff, Louisiana Brain and Spine Clinic

Deepak Awasthi is a member of the following medical societies: Alpha Omega Alpha and Phi Beta Kappa

Disclosure: Nothing to disclose.

Augusto A Miravalle, MD Fellow, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School

Augusto A Miravalle, MD is a member of the following medical societies: American Academy of Neurology

Disclosure: Nothing to disclose.

Marion Priscilla Short, MD Assistant Professor, Departments of Neurology, Pediatrics, and Pathology, University of Chicago Hospitals and Clinics

Marion Priscilla Short, MD is a member of the following medical societies: American Academy of Neurology, American Association of Neuropathologists, American College of Medical Genetics, American Medical Association, and American Society of Human Genetics

Disclosure: Nothing to disclose.

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