Ramsay Hunt syndrome

Ramsay Hunt syndrome is a special form of herpes zoster which is typically characterized by peripheral facial palsy and unilateral herpetic vesicles on the ear. These symptoms are often accompanied by vestibulocochlear dysfunction and other neurological and ophthalmological symptoms. The diagnosis and therapy requires a multidisciplinary approach. The authors present a typical case where the early administration of combined antiviral and systemic corticosteroid therapy led to complete recovery. The authors emphasize the importance of early diagnosis and adequate combination therapy, which improves the prognosis of this disease. Orv. Hetil., 2012, 153, 1281–1283.

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Herpes zoster-encefalitis: een diagnostische uitdaging bij de geriatrische patiënt

Tijdschrift voor Geneeskunde ◽

10.47671/tvg.77.21.190 ◽

2022 ◽

Author(s):

L. Carmans ◽

C. Van Dessel

Keyword(s):

Herpes Zoster ◽

Rare Complication ◽

Diagnostic Process ◽

Herpes Encephalitis ◽

Diagnostic Challenge ◽

Varicella Zoster ◽

Ramsay Hunt Syndrome ◽

Hunt Syndrome ◽

Prevalent Disease ◽

Vesicular Rash

Herpes zoster encephalitis: a diagnostic challenge in a geriatric patient Reactivation of the varicella zoster virus (VZV) is a prevalent disease and is - in addition to the typical vesicular rash - responsible for rare neurological conditions. Older people form a major group of concern, given the increasing risk of VZV reactivation at a higher age together with a higher risk of complications. Herpes zoster encephalitis is a rare but serious complication which often presents atypically, delaying the diagnostic process. In this article, the medical history of a patient with herpes encephalitis without the typical clinical and biochemical signs of infection is presented. This patient also suffered from Ramsay Hunt syndrome, another rare complication of VZV, characterized by vesicular rash in the ear and ipsilateral peripheral facial paralysis. Both diseases are briefly reviewed and the potential benefits of vaccination are discussed.

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Ramsay Hunt syndrome with facial vesicular rash: a unique clinical presentation in a kidney transplant patient

The Journal of Infection in Developing Countries ◽

10.3855/jidc.4301 ◽

2014 ◽

Vol 8 (07) ◽

pp. 923-924 ◽

Cited By ~ 1

Author(s):

Carlos Abaeté De los Santos ◽

Ivan Carlos Ferreira Antonello ◽

Vicente Sperb Antonello ◽

Florência Barreiro

Keyword(s):

Hearing Loss ◽

Herpes Zoster ◽

Kidney Transplant ◽

Kidney Transplant Patient ◽

Virus Reactivation ◽

Ramsay Hunt Syndrome ◽

Transplant Patients ◽

Hunt Syndrome ◽

Vesicular Rash ◽

The Face

Ramsay Hunt Syndrome (RHS) is the result of herpes zoster virus reactivation producing hearing loss, pain and vesicles in the ear or mouth, along with ipsilateral facial palsy due to the 7th cranial nerve geniculate ganglion infectious involvement. This condition has not been previously described, particularly in transplant patients. A 38-year old man underwent kidney transplantation and two years later experienced an ache on the left side of the face and hearing loss in the ear, also exhibiting vesicular lesions and concomitant facial peripheral palsy. Acyclovir IV was initiated, and the prednisone dose was increased. The patient was discharged 15 days later, feeling better but still exhibiting dark spots on his face. At three months follow-up he was asymptomatic, showing notable palsy improvement. Until this case, herpes zoster facial lesions causing typical RHS have never been reported in literature, particularly in kidney transplant patients.

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Mandibular Osteonecrosis and Ramsay Hunt Syndrome Following a Case of Herpes Zoster

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2014.05.004 ◽

2014 ◽

Vol 72 (10) ◽

pp. 1974.e1-1974.e6 ◽

Cited By ~ 2

Author(s):

Travis Rudd ◽

Bryan Y. Chai ◽

Raffi Gurunluoglu ◽

Mark Glasgow

Keyword(s):

Herpes Zoster ◽

Ramsay Hunt Syndrome ◽

Hunt Syndrome

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Ramsay hunt syndrome- expect the unexpected: A case report

Journal of Oral Medicine Oral Surgery Oral Pathology and Oral Radiology ◽

10.18231/j.ijooo.2021.052 ◽

2021 ◽

Vol 7 (3) ◽

pp. 172-175

Author(s):

Poorva Saxena ◽

G. V. Ramachandra Reddy ◽

Hina Handa ◽

Ajita Singh

Keyword(s):

Case Report ◽

Herpes Zoster ◽

Neurological Diseases ◽

Rare Complication ◽

Varicella Zoster Virus Infection ◽

Post Herpetic Neuralgia ◽

Varicella Zoster ◽

Ramsay Hunt Syndrome ◽

Hunt Syndrome ◽

Vesicular Rash

Herpes zoster represents a latent reactivation of the varicella zoster virus infection with a dermatomal pattern of eruption and complicated by post-herpetic neuralgia. Ramsay hunt syndrome is a rare complication of herpes zoster and it is not just a syndrome but it's rather an infectious disease. This syndrome is characterized by peripheral facial nerve palsy associated with an erythematous vesicular rash on the ear. It is characterized by unilateral pattern of facial involvement and presence of vesicles helps in early diagnosis and distinguish the syndrome with diseases mimicking other severe neurological diseases. This article reports a case of 56-year-old male patient who reported with a complaint of severe toothache, which serves as severe prodrome for reactivation of herpes zoster virus which later leads to Ramsay Hunt syndrome. This case report highlights about the management of herpes zoster and its complication and emphasizes on prevention of post herpetic neuralgia complication.

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Facial paralysis due to Ramsay Hunt syndrome - A rare condition

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.63.04.301 ◽

2017 ◽

Vol 63 (4) ◽

pp. 301-302 ◽

Cited By ~ 2

Author(s):

Aline Lariessy Campos Paiva ◽

João Luiz Vitorino Araujo ◽

Vinicius Ricieri Ferraz ◽

José Carlos Esteves Veiga

Keyword(s):

Herpes Zoster ◽

Facial Paralysis ◽

Rare Complication ◽

Rare Condition ◽

Varicella Zoster Virus Infection ◽

Varicella Zoster ◽

Ramsay Hunt Syndrome ◽

Hunt Syndrome ◽

Condition Diagnosis ◽

Symptoms And Signs

Summary Ramsay Hunt syndrome (or herpes zoster oticus) is a rare complication of herpes zoster in which reactivation of latent varicella zoster virus infection in the geniculate ganglion occurs. Usually, there are auricular vesicles and symptoms and signs such otalgia and peripheral facial paralysis. In addition, rarely, a rash around the mouth can be seen. Immunodeficient patients are more susceptible to this condition. Diagnosis is essentially based on symptoms. We report the case of a diabetic female patient who sought the emergency department with a complaint of this rare entity.

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