Ramsay Hunt syndrome

Ramsay Hunt syndrome is a neurological disorder caused by infection of the facial nerve by herpes zoster (shingles) virus. It's characterized by a painful, red rash with fluid-filled blisters on the eardrum, external ear canal, external ear and the roof of the mouth (palate).

Other signs and symptoms may include:

• Facial weakness (palsy) on the side of the infection
• Ear pain
• Hearing loss
• Sensation of things spinning or moving around (vertigo)

A doctor may make a diagnosis by:

• Medical history
• Physical exam
• Signs and symptoms

Treatment of Ramsay Hunt syndrome may include:

• Prednisone
• Antiviral medications, such as famciclovir (Famvir) or valacyclovir (Valtrex)

Even with treatment, some people have residual facial palsy. Also, some develop chronic pain due to postherpetic neuralgia.