Ramsay Hunt syndrome

Question 1

What is Ramsay Hunt syndrome due to?

Answer 1

Varicella zoster virus (VZV).

Question 2

What is Ramsay hunt syndrome?

Answer 2

Varciella zoster of the facial nerve

Question 3

What does Ramsay Hunt syndrome present as?

Answer 3

Unilateral lower motor neurone facial nerve palsy.

Question 4

What is the main presenting feature of ramsay hunt syndrome?

Answer 4

Painful and tender vesicular rash in the ear canal, pinna and around the ear on the affected side.

Question 5

Where can the rash in someone with ramsay hunt extend to?

Answer 5

The anterior two-thirds of the tongue and hard palate.

Question 6

What are the main presenting features of ramsay hunt syndrome?

Answer 6

auricular pain is often the first feature
facial nerve palsy
vesicular rash around the ear
other features include vertigo and tinnitus

Question 7

What is the main medical management of Ramsay hunt syndrome?

Answer 7

Prednisolone
Aciclovir

Question 8

What might patients with ramsay hunt also require?

Answer 8

Lubricating eye drops.