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Published on: September 20, 2021
Herpes zoster oticus: A rare clinical entity
Shailesh Gondivkar1, Viren Parikh, Rima Parikh
1Department of Oral Diagnosis, Medicine and Radiology, K. M. Shah Dental College and Hospital, Piparia, Vadodara, Gujarat, India.
Contemporary Clinical Dentistry
|November 25, 2011
Summary
Ramsay Hunt syndrome, a rare complication of varicella zoster virus, causes facial paralysis. Rehabilitation programs may effectively treat severe cases after antiviral and steroid therapy shows limited promise.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Herpes zoster oticus (Ramsay Hunt syndrome) is a rare complication of varicella zoster virus reactivation.
- It presents with otalgia, auricular vesicles, and peripheral facial paralysis, often misdiagnosed due to variable symptom onset.
Observation:
- Ramsay Hunt syndrome is uncommon in children, affecting males and females equally.
- Compromised host immunity increases incidence and clinical severity.
- It accounts for 12% of facial palsy cases, typically unilateral and complete, with a poorer prognosis than Bell's palsy.
Findings:
- Standard combination therapy with acyclovir and prednisone shows limited efficacy.
- A case of grade V facial palsy due to Ramsay Hunt syndrome was effectively treated with a rehabilitation program post-antiviral/steroid therapy.
Implications:
- Early diagnosis and prompt treatment are crucial for managing Ramsay Hunt syndrome.
- Rehabilitation programs may offer a promising therapeutic avenue for severe facial palsy in Ramsay Hunt syndrome.
- Further research is needed to optimize treatment strategies for this rare condition.
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