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Ramsay Hunt syndrome.

Ravi Ranjan Pradhan1

  • 1Department of Internal Medicine Provincial Hospital, Province no. 2, Janakpurdham, Dhanusha, Nepal.

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|June 25, 2020
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Summary
This summary is machine-generated.

Ramsay Hunt syndrome, a viral infection, can cause facial nerve palsy and painful ear vesicles. Early treatment with antivirals and steroids can improve outcomes.

Keywords:
AcyclovirPeripheral facial nerve palsyPrednisoloneRamsay hunt syndromeVesicular rash

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Otolaryngology

Background:

  • Ramsay Hunt syndrome (herpes zoster oticus) is a rare viral infection affecting the facial nerve.
  • It presents with facial nerve palsy, otalgia, and herpetic vesicles in the ear canal.
  • Distinguishing it from Bell's palsy can be challenging due to overlapping symptoms.

Purpose of the Study:

  • To report a case of Ramsay Hunt syndrome in a young, previously healthy male.
  • To highlight the clinical presentation and diagnostic considerations.
  • To emphasize the importance of prompt treatment.

Main Methods:

  • Case report of a 26-year-old male.
  • Clinical diagnosis based on peripheral facial nerve palsy and vesicular eruptions.
  • Treatment with prednisolone, acyclovir, and physiotherapy.

Main Results:

  • The patient presented with unilateral facial nerve palsy and painful vesicular eruptions on the pinna and external auditory canal.
  • Ramsay Hunt syndrome was diagnosed.
  • Significant improvement was observed following treatment.

Conclusions:

  • Ramsay Hunt syndrome requires prompt diagnosis and management.
  • Combination therapy including corticosteroids, antivirals, and physiotherapy is effective.
  • Awareness of symptom overlap with Bell's palsy is crucial for timely diagnosis.