Description A disorder of the b...
Description
A disorder of the brain and nervous system that occurs when reactivated chicken-pox virus (varicella zoster) causes specific symptoms in an adult. Reactivated chicken pox is also known as "shingles" or "zoster" infection. Ramsay Hunt syndrome is a shingles (zoster) infection that specifically infects one or more nerves near to the inner ear. Affected patients experience paralysis of muscles on one side of the face, ear pain, hearing loss or ringing in the ear (tinnitus).
Symptoms
Hearing loss on one side. Painful blistering rash inside the canal of the ear, on the eardrum, tongue, and/or roof of the mouth (palate). This is on the same side as facial weakness, if the face is involved. Sensation of movement (spinning, falling) even when you are standing still (vertigo), weakness of the face with difficulty closing one eye, drooping of the face on one side.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed, including a careful ear exam. Imaging studies are done to rule out other causes of the symptoms.
Tests:
CT Scan, Magnetic resonance imaging (MRI)
Other Specific Tests: EMG
Specialists:
Internal Medicine, Neurology, Pediatrics, Family Practice, Pediatric Neurology
Workup:
A history and physical exam will be performed, including a careful ear exam. Imaging studies are done to rule out other causes of the symptoms.
Tests:
CT Scan, Magnetic resonance imaging (MRI)
Other Specific Tests: EMG
Specialists:
Internal Medicine, Neurology, Pediatrics, Family Practice, Pediatric Neurology
Treatment
Treatment involves the following medications: antiviral medications (acyclovir, famciclovir), steroids, nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) and pain medications. Eye patching may done to prevent drying of the cornea.