Ramsay Hunt Syndrome, also known as herpes zoster oticus, is caused by the same virus responsible for chickenpox, the varicella-zoster virus. It is an infection of the facial nerve resulting from a dormant virus present after chickenpox heals. If the immune system fails to destroy the virus it can reactivate resulting in this or other pathologies, such as shingles. Treatment within seven days of onset of symptoms can reduce chance for longterm complications. Since early detection is so important, here are some symptoms to watch for: pain in ear, hearing loss, tinnitus (ringing in ears), vertigo (disorientation), taste perversion, and painful red rash and blisters in the mouth or ear area. Sometimes confused with stroke symptoms, patients may also experience facial weakness on one side (the same side as the affected ear).Though Ramsay Hunt often occurs in people over the age of 60, anyone who has had chickenpox can be affected. Because this disorder can be spread by touch, until blisters have scabbed over those affected should avoid contact with t
he following: anyone who has never had chickenpox, anyone with a weak immune system, newborns, and pregnant women. Failure to seek prompt treatment could result in permanent hearing loss and/or facial weakness. If there is severe damage to the facial nerve, it may not repair correctly resulting in abnormal facial movements. Other longterm possibilities include damage to the eye because of inability to close the eyelid; and spread of the virus to other nerves or brain, resulting in headaches, confusion, and overall weakness.In order to treat Ramsay Hunt Syndrome, doctors may prescribe medication to target the virus and/or the symptoms. Such medications include: antiviral, corticosteroids (to reduce swelling), valium (for vertigo), or pain relievers. Certain exercises and Botox injections may help with facial weakness and the patients inability to close their eye. Treatment could take weeks or even months to take effect. Though there is no way of preventing the virus, the risk may be reduced by the varicella virus vaccine. This vaccine is usually administered between the ages of 12 and 18 months, but may be given to older children who have not had chickenpox.
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