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Ramsay Hunt Syndrome

Infection Ramsay Hunt Syndrome Brief outline/clinical setting The combination of vesicular eruptions on the ear and facial paralysis due to Herpes Zoster infection is referred to as Ramsay Hunt syndrome. Progressive facial paresis can occur up to 3 weeks following onset. Incidence of Herpes zoster infection increases dramatically over the age of 60, due to decreased cell mediated immunity in this

Infection Ramsay Hunt Syndrome
Brief outline/clinical setting The combination of vesicular eruptions on the ear and facial paralysis due to Herpes Zoster infection is referred to as Ramsay Hunt syndrome. Progressive facial paresis can occur up to 3 weeks following onset. Incidence of Herpes zoster infection increases dramatically over the age of 60, due to decreased cell mediated immunity in this age group.
Reactivation of latent varicella zoster virus occurs.
Aetiologies/organisms Varicella zoster virus
Optimal antimicrobial selection
  1. Acyclovir 800mg po 5 times per day
  2. Prednisone 1 mg/kg/day for 5 days followed by a 10 day taper
Duration 14 days
Alternative if allergic/not available  
Rationale
  

Level of evidence  
Link to Guideline  

Drugs mentioned

NeoHealth® ID 23864 · updated 3/27/2024