Ramsay Hunt syndrome (RHS)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Ramsay Hunt syndrome (RHS). This is Varicella zoster virus (VZV) infection of the geniculate ganglion. Fully referenced neurology checklist.

Pathology

  • This is Varicella zoster virus (VZV) infection of the geniculate ganglion
  • It may involve cranial nerves V-XI
  • It may rarely involve the cervical nerves

Classic triad

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Clinical features: others

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Differential diagnosis: Bell’s palsy

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Investigations

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Antiviral treatment

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Other treatments

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Other Ramsay Hunt syndromes

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Synonym

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References

  1. Sweeney CJ, Gilden DH. Ramsay Hunt syndrome. JNNP 2001; 71:149-154.
  2. Liveson JA. Peripheral neurology: case studies. Third edition. Oxford University Press Oxford 2000 p315.
  3. 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; 27:721-723. 
  4. 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; 42:873-877.
  5. Kayayurt K, Yavasi O, Bilir O, Ersunan G, Giakoup B. A case of Ramsay Hunt syndrome with atypical presentation. Turk J Emerg Med 2016; 14:142-145. 
  6. And 12 more. Subscribe to see the full list

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