Ramsay Hunt Syndrome: Narrative Review

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Published: Mar 31, 2021
DOI: https://doi.org/10.37076/acorl.v49i1.522
Keywords:
Herpes Zoster Ótico, Herpesvirus Humano 3, Terapéutica Herpes Zoster Oticus, Facial Paralysis, Herpesvirus 3, Human, Therapeutics

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Daniel Becerra-Mejía
Jesús David Roa-Gómez
Luis David Mendoza-Durán
María Angélica Morales- Núñez
Yancarlos Ramos-Villegas
Centro de Investigaciones Biomédicas (CIB), línea Cartagena Neurotrauma Research Group, Universidad de Cartagena, Cartagena, Colombia

Abstract

Ramsay Hunt syndrome corresponds to the association of peripheral facial paralysis with a vesicular eruption located in the pinna, caused by the involvement of the geniculate ganglion secondary to infection by the varicella zoster virus.
This syndrome is the second causes of atraumatic facial paralysis, representing approximately 10 %-12 % of acute facial paralysis, with an annual incidence of 5 per 100,000 inhabitants. The diagnosis is mainly clinical and among the most prominent manifestations are neurological symptoms such as otalgia, tinnitus, hypoacusis associated with facial paralysis together with characteristic herpetic
lesions. Among the complications that may occur in this entity is mainly postherpetic neuralgia, followed by less frequent ones such as encephalitis, ophthalmic herpes zoster and myelitis. Current management of Ramsay Hunt syndrome is
based on the application of dual therapies consisting of corticosteroids associated with antiviral therapy, showing that early initiation of treatment improves prognosis and reduces the appearance of complications. The prognosis of this pathology
is inferior compared to less severe pathologies that compromise the facial nerve (Bell’s palsy) and is impacted by several factors such as the timely initiation of treatment, the age group, and the presence of comorbidities.

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How to Cite
1.
Becerra-Mejía D, Roa-Gómez JD, Mendoza-Durán LD, Morales- Núñez MA, Ramos-Villegas Y. Ramsay Hunt Syndrome: Narrative Review. Acta otorrinolaringol cir cabeza cuello [Internet]. 2021Mar.31 [cited 2024Jul.3];49(1):63 - 71. Available from: https://revista.acorl.org.co/index.php/acorl/article/view/522
Issue
Vol. 49 No. 1 (2021): Enero - Marzo
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Revisiones
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