Ramsay Hunt Syndrome: Difference between revisions

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== Mechanism of Injury / Pathological Process  ==
== Mechanism of Injury / Pathological Process  ==


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RHS is caused by reactivation of the Varicella Zoster Virus (the virus which causes chicken pox) within the sensory ganglion of the Facial Nerve, the 7th Cranial Nerve. As the 8th Cranial Nerve, known as the Auditory Nerve or the Vetibulocochlear Nerve, lies next to the sensory ganglion of the facial nerve within the facial canal, both nerves are usually involved.


[[Image:PP RHS.png|right|300px]]  
[[Image:PP RHS.png|right|300px]]


== Clinical Presentation  ==
== Clinical Presentation  ==

Revision as of 22:45, 15 December 2015


Introduction[edit | edit source]

Ramsey Hunt Syndrome [RHS] is a peripheral facial nerve palsy caused by an infection with the virus Varicella Zoster virus.

It is generally accompanied by a rash (which can be painful) in the area of the ear and/or the mouth.

The auditory nerve may also be involved, leading to hearing and balance effects.

Mechanism of Injury / Pathological Process[edit | edit source]

RHS is caused by reactivation of the Varicella Zoster Virus (the virus which causes chicken pox) within the sensory ganglion of the Facial Nerve, the 7th Cranial Nerve. As the 8th Cranial Nerve, known as the Auditory Nerve or the Vetibulocochlear Nerve, lies next to the sensory ganglion of the facial nerve within the facial canal, both nerves are usually involved.

PP RHS.png

Clinical Presentation[edit | edit source]


Diagnostic Procedures[edit | edit source]


Differential Diagnosis[edit | edit source]

Medical Management[edit | edit source]

Physiotherapy Interventions[edit | edit source]

Physiotherapy management of the facial paralysis or weakness is as detailed in the section on Facial Palsy.

It is also important to provide information on care of the eye in order to prevent formation of corneal ulcer: see advice page on Dry Eye.

Resources[edit | edit source]

The charity Facial Palsy UK have a page on RHS

The website RamsayHunt.org offers information and support

American organisation National Organization for Rare Disorders has a useful page on RHS

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]