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Updated: Jan 7, 2026

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Not a Stroke, but a Virus: When a Slurred Call Tells a Different Story
Inês C Teixeira1, Filipa Andrade2, Sara Gouveia1
1Family Medicine, Centro de Saúde do Bom Jesus, ACES Madeira SESARAM, Funchal, PRT.
Cureus
|December 31, 2025
Summary
Atypical Ramsay Hunt syndrome (RHS) in an elderly male presented with facial paralysis and rash. Early diagnosis and treatment are crucial for better outcomes in this VZV reactivation.
Area of Science:
- Neurology
- Infectious Diseases
- Dermatology
Background:
- Ramsay Hunt syndrome (RHS), caused by varicella-zoster virus (VZV) reactivation, typically presents with facial paralysis, rash, and auditory issues.
- Atypical presentations can complicate diagnosis, particularly in elderly patients with comorbidities.
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