Shingles B02.21

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Ear pads; Herpes Zoster of the ear; Ramsay hunt syndrome; Ramsay-Hunt Syndrome; Ramsey Hunt Syndrome

Definition
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Occurrence of zoster on the auricle and the surrounding area (auricle, external auditory canal, eardrum = Hunt's zone).

The combination of an affected outer ear with acoustic and facial paralysis, possibly also dizziness and tinnitus with or without hearing loss is called Ramsay-Hunt syndrome.

Therapy
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  • According to Zoster.
  • ENT presentation.
  • In case of facial nerve palsy, symptomatic vestibulocochlear nerve and/or trigeminal involvement, several authors recommend the administration of glucocorticoids (prednisolone 30-50mg/day p.o.) in addition to acyclovir.

Progression/forecast
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Risk of hearing loss.

Literature
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  1. Galimi R (2011) An unusual variant of Ramsay Hunt syndrome. G Ital Dermatol Venereol 146:307-308
  2. Pereira FP et al (2011) Unilateral facial paralysis caused by Ramsay Hunt syndrome. J Craniofac Surgery 22:1961-1963
  3. Sun WL et al (2011) Ramsay Hunt syndrome with unilateral polyneuropathy involving cranial nerves V, VII, VIII, and XII in a diabetic patient. Quintessence Int 42:873-877

Outgoing links (1)

Zoster;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020