Ramsay Hunt Syndrome (Type 2)








James Ramsay Hunt (1872-1937) was a famous Neurologist who named a number of things.  The most known is Type 2, the reactivation of herpes zoster in the geniculate ganglion.  It is sometimes called herpes zoster oticus, and has variable presentation which may include a lower motor neuron lesion of the facial nerve, deafness, vertigo, and pain.  A triad of ipsilateral facial paralysis, ear pain, and vesicles on the face, on the ear, or in the ear is the typical presentation.

This young lady is 2 weeks out from a varicella vaccination.  We treated her successfully with Valtrex and Prednisone.  More questions than answers here.