After the onset of symptoms, facial weakness is usually most severe within one week. In most people, only one side of the face is affected.įacial muscles affected by nerve palsy may be weak or feel stiff and result in the inability to smile or wrinkle the forehead, creating the appearance of a “saggy face”. These two symptoms do not always occur at the same time.
Affected individuals usually experience paralysis of the facial nerve and a rash affecting the ear. The symptoms of Ramsay Hunt syndrome vary from person to person. However, some patients may have permanent facial paralysis or hearing loss. There is usually a good prognosis when treatment is started within three days of the onset of symptoms.
Treatment for Ramsay Hunt syndrome includes anti-inflammatory drugs (steroids) to reduce pain and swelling of the nerves. In Ramsay Hunt syndrome, previously inactive (dormant) varicella-zoster virus is reactivated and spreads to affect the facial nerve. Ramsay Hunt syndrome is caused by the varicella zoster virus (VZV), the same virus that causes chickenpox in children and shingles (herpes zoster) in adults. Ringing in the ears (tinnitus) and hearing loss may also be present. Symptoms are usually on one side of the face (unilateral). The disorder is characterized by facial weakness or paralysis of the facial nerve (facial palsy) and a rash affecting the ear or mouth. Ramsay Hunt syndrome is a rare neurological disorder that typically affects adults over 60 years of age.
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