{"id":321,"date":"2021-01-04T15:21:09","date_gmt":"2021-01-04T22:21:09","guid":{"rendered":"https:\/\/neurotucson.fm1.dev\/ear-hearing\/ramsay-hunt-syndrome\/"},"modified":"2021-02-02T17:42:56","modified_gmt":"2021-02-03T00:42:56","slug":"ramsay-hunt-syndrome","status":"publish","type":"page","link":"https:\/\/neurotucson.com\/ear-hearing\/otology\/ramsay-hunt-syndrome\/","title":{"rendered":"Ramsay Hunt Syndrome"},"content":{"rendered":"\n

Ramsay Hunt Syndrome (RHS) is a rare disorder caused by the varicella zoster virus (the same virus that causes chickenpox and shingles). RHS is a shingles outbreak that occurs on the facial nerve, which is near the inner ear. The facial nerve becomes irritated and swollen, causing facial weakness or paralysis. Additionally, a red, painful rash with blisters is found in the ear canal, eardrum and sometimes the mouth. A poly-cranial-neuropathy may occur in some patients, thereby causing sensorineural hearing loss, balance dysfunction, abnormalities of facial sensation, vocal cord paralysis and even tongue weakness.<\/p>\n\n\n\n

It is critical to receive a medical evaluation promptly if you experience any facial weakness or paralysis, as the risk of long-term complications associated with RHS is greatly reduced if treatment is received within a few days of symptoms appearing. RHS is diagnosed by medical history and examination of the face and ears. A sample of fluid from a blister may be drawn to culture the virus and confirm the diagnosis. Several medication options exist for treatment, including antivirals, corticosteroids (to reduce inflammation of the facial nerve), pain relievers, and anti-anxiety medications. Even with proper treatment, long-term outcomes are not as favorable as for those with\u00a0Bell\u2019s Palsy<\/a>. Long-term facial weakness, hearing loss, chronic pain syndromes, and balance dysfunction may occur. Workup with an MRI scan of the Brain (with internal auditory canal protocol) is required to image the facial nerve from brainstem into the parotid gland.<\/p>\n\n\n\n

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