Ramsay Hunt Syndrome

Justin Bieber announced that he had the rare facial condition

When shingles impact nerves in the face adjacent to either patient’s ears, a condition is known as Ramsay Hunt syndrome can develop. A virus known as herpes zoster oticus is responsible for the illness known as shingles, which can attack either ear. Chickenpox is a viral illness that typically affects youngsters and is brought on by the same virus that causes shingles. If you’ve ever had chickenpox, you run the risk of developing shingles later in life because the chicken pox virus might reactivate.

The rash that develops on the part of the body infected with chicken pox or shingles is the most obvious sign of either condition. However, a rash caused by shingles instead of chicken pox might bring additional consequences, such as facial paralysis and ear discomfort. This contrasts with chicken pox, which does not affect the facial nerves. Ramsay Hunt syndrome is the name for this condition when it manifests itself.

Visit your doctor as soon as you can if you notice that you are experiencing symptoms such as facial muscle weakness and a rash on your face. Receiving therapy as soon as possible assists in reducing or eliminating the risk of developing complications from Ramsay Hunt syndrome.


The rash of shingles that appears around one or both ears and aberrant paralysis in the face are the Ramsay Hunt syndrome symptoms that are most obvious to the naked eye. On the side of the face that is afflicted by the rash caused by shingles, this condition manifests as a visible paralysis of the facial muscles. When your face is paralyzed, the muscles in it may feel more difficult to control, or perhaps impossible, as though they have lost their strength.

A rash caused by shingles is characterized by red blisters filled with pus. A rash caused by Ramsay Hunt syndrome can appear anywhere on the body, including within, outside, or around the ear. The rash may also show up in your mouth, particularly on the roof of your mouth or the top of your throat in certain circumstances. In rare instances, the rash may not even be apparent, yet you may still experience some degree of facial paralysis nevertheless.

The following are some common symptoms of Ramsay Hunt syndrome:

  • ear discomfort in the afflicted ear
  • a ringing noise in your ear, also known as tinnitus; hearing loss; difficulty closing the eye on the affected side of your face; decreased sense of taste; a feeling as though the room is spinning, also known as vertigo; pain in your neck; hearing loss; trouble closing the eye on the affected side of your face;
  • speech that is slightly slurred

Causes and risk factors

If you have Ramsay Hunt syndrome, you have the shingles virus, but the illness itself is not contagious. However, if a person has never been infected with the varicella-zoster virus before, the virus can cause shingles or chicken pox when exposed for the first time.

Because shingles are the root cause of Ramsay Hunt syndrome, the same variables and causes contribute to both conditions. These are the following:

  • having suffered from chicken pox in the past and being older than 60 years (it rarely occurs in children)
  • having an immune system that is either weakened or weak Treatment
  • Medications that treat the underlying viral infection are typically the first line of defense regarding Ramsay Hunt syndrome therapy. With prednisone or one of the many corticosteroid drugs or injections, your doctor may recommend that you take famciclovir or acyclovir.


They could also make therapy suggestions depending on the particular symptoms that you are experiencing. For example, it may be possible to alleviate the discomfort caused by Ramsay Hunt syndrome by using nonsteroidal anti-inflammatory medicines (NSAIDs) or antiseizure medications such as carbamazepine. Vertigo symptoms, such as dizziness or the impression that the room is spinning may respond favorably to Treatment with antihistamines. Lubricating your eyes with eye drops or other similar fluids can help prevent damage to the cornea and protect your eyes from drying up.

Home remedies

To treat a rash caused by shingles at home, you should keep the affected area clean and apply a cold compress to reduce the pain. You might also try using over-the-counter pain medicines like ibuprofen, such as nonsteroidal anti-inflammatory drugs (NSAIDs).

How it’s diagnosed

To diagnose you with Ramsay Hunt syndrome, your doctor may choose to employ one of the following methods:

Examining your medical history: If you had chicken pox when you were a child, an outbreak of shingles is probably to blame for a rash that appears on your face.

During the physical examination: To do this, your doctor will search your body for any further symptoms and carefully inspect the region afflicted by the condition to confirm a diagnosis.

Inquiring about whether you have had any additional symptoms: They can inquire about any other symptoms you are experiencing, such as soreness or lightheadedness.

Obtaining a sample of tissue or fluid through a biopsy: It is possible to confirm a diagnosis by sending a sample of the rash and the afflicted region to a laboratory.

Other examinations that your doctor might recommend include the following:

  • a test of the patient’s blood to look for evidence of the varicella-zoster virus
  • a skin test to detect the virus
  • extraction of spinal fluid for analysis (also known as a lumbar puncture or spinal tap)
  • magnetic resonance imaging (MRI) of your skull, and an outlook for the future


The Ramsay Hunt syndrome is associated with very few long-term consequences. On the other hand, if you let it go untreated for an excessive amount of time, you risk experiencing some lasting muscular weakening in your face or losing some of your hearing. Make an appointment with your primary care doctor as soon as you discover any combination of symptoms to ensure that the problem is handled promptly.

Both chicken pox and shingles can be prevented with the appropriate vaccination. Vaccinating children when they are still young can help reduce the risk of chicken pox epidemics ever occurring in the future. If you are above the age of 60 and haven’t already done so, being vaccinated against shingles can also help avoid disease outbreaks.


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