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herpes zoster oticus

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The Ramsay Hunt Syndrome is characterised by sensorineural deafness, vertigo and facial paralysis following Herpes Zoster infection. The patient is usually elderly.

Herpes zoster infects the geniculate ganglion, more rarely the IXth and Xth nerves and, very occasionally, nerves V, VI or XII.

Recovery of facial nerve function is less likely than in Bell's palsy.

The prognosis may be improved by treatment with acyclovir.


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