RT Book, Section
A1 Jauch, Edward C.
A1 Hall, Gregory
A1 Knoop, Kevin J.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181040078
T1 Herpes Zoster Oticus (Ramsay Hunt Syndrome)
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181040078
RD 2024/04/19
AB Herpes  zoster  oticus  (HZO),  or  Ramsay  Hunt  syndrome,  is  the  second  most  common  cause  of  facial  paralysis,  representing  3%  to  12%  of  cases.  The  syndrome  consists  of  facial  and  neck  pain,  auditory  symptoms,  and  facial  palsy  associated  with  the  reactivation  of  latent  varicella-zoster  virus  in  the  facial  nerve  and  geniculate  ganglion.  Patients  first  note  pruritus,  followed  by  pain  out  of  proportion  to  the  physical  examination  over  the  face  and  ear.  Patients  may  also  experience  vertigo,  hearing  loss  from  involvement  of  the  8th  cranial  nerve,  tinnitus,  rapid  onset  of  facial  paralysis,  decrease  in  salivation,  loss  of  taste  sensation  over  the  posterolateral  tongue,  and  vesicles  on  the  ear,  EAC,  and  face.