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Ramsay Hunt syndrome
R Zainine1, M Sellami, A Charfeddine
1Service d'ORL et de chirurgie maxillofaciale, hôpital La Rabta, Jabbari, Tunis, Tunisia. rimzainine@yahoo.fr
Introduction:
Ramsay Hunt syndrome is a viral infection that combines facial palsy and pinnal vesicular rash.
Objectives:
To detail diagnostic criteria, treatment and prognosis in Ramsay Hunt syndrome.
Patients And Methods:
A retrospective study of 15 patients with Ramsay Hunt syndrome admitted to the ENT department of La Rabta Hospital (Tunis) from 2003 to 2009.
Results:
The main presenting symptom was facial palsy associated with conchal vesicular rash. House-Brackmann classification of facial nerve function ranged from III to V. All patients were treated with acyclovir and corticosteroids. Mean follow-up was 8 months. Ten patients showed improvement in facial palsy, four had permanent palsy and one moved from grade IV to grade III.
Conclusion:
Ramsay Hunt syndrome involves severe dysfunction, with poorer facial nerve prognosis than in Bell's palsy.
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