MRCP revision battle 31.7: Ramsey Hunt Syndrome

Ramsey Hunt Syndrome is the reactivation of varicella zoster in the geniculate ganglion of the facial nerve.  


It is characterised by:

• herpes zoster oticus (=herpetic eruption in external auditory meatus)
• facial nerve palsy
• +/- deafness, tinnitus and vertigo

Treatment is with oral antivirals