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Ramsay Hunt Syndrome

  • Satvinder Singh Bakshi
    Correspondence
    Requests for reprints should be addressed to Satvinder Singh Bakshi, MS, DNB, Department of ENT and Head & Neck Surgery, All India Institute of Medical Sciences Mangalagiri, House 1A, Selvam Apartments, 71 Krishna Nagar Main Road, Krishna Nagar, Pondicherry 605008, India.
    Affiliations
    Department of ENT and Head & Neck Surgery, All India Institute of Medical Sciences Mangalagiri, Guntur, Andhra Pradesh India
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  • Seepana Ramesh
    Affiliations
    Department of ENT and Head & Neck Surgery, All India Institute of Medical Sciences Mangalagiri, Guntur, Andhra Pradesh India
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  • Chandra Shekhar Annam
    Affiliations
    Department of ENT and Head & Neck Surgery, All India Institute of Medical Sciences Mangalagiri, Guntur, Andhra Pradesh India
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Published:February 24, 2022DOI:https://doi.org/10.1016/j.amjmed.2022.01.035
      A 48-year-old male patient presented with left-sided earache and deviation of the mouth to the right side for 3 days. He had no similar previous history. Examination revealed an inflamed pinna with vesicles on its surface (Figure 1) and lower motor neuron VII nerve palsy (Figure 2). A diagnosis of Ramsay Hunt syndrome was made and the patient was started on oral prednisolone 50 mg tapered over 10 days along with acyclovir 800 mg 5 times a day. The lesions gradually resolved completely and the patient is asymptomatic at 2 months follow-up.
      Figure 1
      Figure 1Inflammation of the left-side pinna with vesicles.
      Figure 2
      Figure 2Left-side lower motor neuron facial palsy.
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