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1

kumar, Mr N. Dhanesh, and Dr R. Jothi lakshmi. "RAMSAY HUNT SYNDROME." GENESIS 9, no. 3 (2022): 5–9. http://dx.doi.org/10.47211/tg.2022.v09i03.002.

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Ramsay Hunt is a rare condition of acute herpes zoster. A painful rash/sores in or near the ear (herpes zoster oticus) and facial weakness/paralysis — are the main hallmarks of Ramsay Hunt. These two symptoms don’t always occur together at the same time. In most cases, only one side of the face is affected. The condition is caused by a viral infection of the facial nerve. It is a type of acute herpes zoster, which occurs by reactivation of the varicella-zoster virus at the geniculate ganglion. Early diagnosis of Ramsay Hunt syndrome is a crucial factor to improve damaged nerves. A combination
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Kui, Róbert, Zsuzsanna Bata-Csörgő, Margit Zeher, and Lajos Kemény. "Ramsay Hunt syndrome." Orvosi Hetilap 153, no. 32 (2012): 1281–83. http://dx.doi.org/10.1556/oh.2012.29402.

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Ramsay Hunt syndrome is a special form of herpes zoster which is typically characterized by peripheral facial palsy and unilateral herpetic vesicles on the ear. These symptoms are often accompanied by vestibulocochlear dysfunction and other neurological and ophthalmological symptoms. The diagnosis and therapy requires a multidisciplinary approach. The authors present a typical case where the early administration of combined antiviral and systemic corticosteroid therapy led to complete recovery. The authors emphasize the importance of early diagnosis and adequate combination therapy, which impr
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3

Guseva, A. L., M. V. Zamergrad, and O. S. Levin. "Ramsay Hunt syndrome." Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 120, no. 9 (2020): 151. http://dx.doi.org/10.17116/jnevro2020120091151.

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4

EGAWA, Kiyofumi, and Hidetake MATSUYOSHI. "Ramsay Hunt Syndrome." Nishi Nihon Hifuka 82, no. 6 (2020): 405–6. http://dx.doi.org/10.2336/nishinihonhifu.82.405.

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5

Perszke, Michał, and Dominika Egierska. "Ramsay Hunt syndrome." Journal of Education, Health and Sport 12, no. 9 (2022): 876–82. http://dx.doi.org/10.12775/jehs.2022.12.09.101.

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Ramsay-Hunt syndrome (RHS) is a disease caused by reactivation of varicella-zoster virus in the geniculate ganglion. It may be one of the common reasons of the facial palsy. Symptoms of the RHS include vesicular rash on the auricle, external auditory canal, soft palate, pharynx, facial nerve paralysis, ear pain, tinnitus, vertigo and hearing loss. There may be other symptoms connected to cranial nerves (CN) V, VIII, IX or X, when they are involved. Men are more likely to develop lesions than women. Risk of developing Ramsay-Hunt syndrome increases with age. Authors searched Google Scholar and
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Jeon, Younghoon, and Heryim Lee. "Ramsay Hunt syndrome." Journal of Dental Anesthesia and Pain Medicine 18, no. 6 (2018): 333. http://dx.doi.org/10.17245/jdapm.2018.18.6.333.

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7

de Mendonca Vaz, Rodrigo, and Fred H. Linthicum. "Ramsay Hunt Syndrome." Otology & Neurotology 30, no. 3 (2009): 428–29. http://dx.doi.org/10.1097/mao.0b013e318180a481.

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8

Gupta, N. M., M. P. Parikh, S. Panginikkod, and V. Gopalakrishnan. "Ramsay Hunt syndrome." QJM 109, no. 10 (2016): 693. http://dx.doi.org/10.1093/qjmed/hcw113.

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9

Valerio, Enrico, Mario Cutrone, Chiara Gentilomo, Eugenio Baraldi, and Enrico Ravagnan. "Ramsay Hunt Syndrome." Pediatric Neurology 52, no. 5 (2015): 554–55. http://dx.doi.org/10.1016/j.pediatrneurol.2015.01.017.

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10

Castro, H. M., and M. Lisa Eliceche. "Ramsay-Hunt syndrome." Revista Clínica Española (English Edition) 220, no. 3 (2020): 203–4. http://dx.doi.org/10.1016/j.rceng.2019.03.002.

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11

KOCHHAR, LK, SC GUPTA, and S. KAMARAVELU. "RAMSAY HUNT SYNDROME." Medical Journal Armed Forces India 54, no. 4 (1998): 365–66. http://dx.doi.org/10.1016/s0377-1237(17)30611-1.

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12

Wagner, Gunnar, Harald Klinge, and Michael Max Sachse. "Ramsay Hunt syndrome." JDDG: Journal der Deutschen Dermatologischen Gesellschaft 10, no. 4 (2012): 238–43. http://dx.doi.org/10.1111/j.1610-0387.2012.07894.x.

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13

Montague, Steven J., and A. Ross Morton. "Ramsay Hunt syndrome." Canadian Medical Association Journal 189, no. 8 (2017): E320. http://dx.doi.org/10.1503/cmaj.160483.

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14

Kunitomo, Kotaro. "Ramsay Hunt syndrome." Postgraduate Medical Journal 96, no. 1133 (2019): 168. http://dx.doi.org/10.1136/postgradmedj-2019-137154.

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15

Neagu, Martha R., and Sashank Prasad. "Ramsay Hunt syndrome." Practical Neurology 16, no. 3 (2016): 232. http://dx.doi.org/10.1136/practneurol-2015-001303.

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16

Taguchi, Takafumi, Satoko Ueda, Tomoko Kudo, et al. "Ramsay-Hunt syndrome." Journal of Infection 62, no. 2 (2011): 180–81. http://dx.doi.org/10.1016/j.jinf.2010.12.005.

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17

Zainine, R., M. Sellami, A. Charfeddine, N. Beltaief, S. Sahtout, and G. Besbes. "Ramsay Hunt syndrome." European Annals of Otorhinolaryngology, Head and Neck Diseases 129, no. 1 (2012): 22–25. http://dx.doi.org/10.1016/j.anorl.2011.08.003.

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18

Pradhan, Ravi Ranjan. "Ramsay Hunt syndrome." IDCases 21 (2020): e00850. http://dx.doi.org/10.1016/j.idcr.2020.e00850.

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19

Perszke, Michał, and Dominika Egierska. "Ramsay-Hunt syndrome." Journal of Education, Health and Sport 12, no. 9 (2022): 876–82. https://doi.org/10.12775/JEHS.2022.12.09.101.

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<strong>Perszke, Michał</strong><strong>,</strong><strong>&nbsp;Egierska, Dominika</strong><strong>. </strong><strong>Ramsay-Hunt syndrome</strong><strong>. Journal of Education, Health and Sport. 2022;12(9):</strong><strong>8</strong><strong>76</strong><strong>-</strong><strong>8</strong><strong>82</strong><strong>. eISSN 2391-8306. DOI</strong>&nbsp;<strong>http://dx.doi.org/10.12775/JEHS.2022.12.09.10</strong><strong>1</strong> <strong>https://apcz.umk.pl/JEHS/article/view/</strong><strong>40022</strong> <strong>https://zenodo.org/record/7096514</strong> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <
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20

Yanagihara, Naoaki, and Masamitsu Hyodo. "Association of Diabetes Mellitus and Hypertension with Bell's Palsy and Ramsay Hunt Syndrome." Annals of Otology, Rhinology & Laryngology 97, no. 6_suppl3 (1988): 5–7. http://dx.doi.org/10.1177/00034894880976s302.

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This study included 625 patients with Bell's palsy and 124 patients with Ramsay Hunt syndrome. Seven percent of the cases of Bell's palsy and 1.6% of the cases of Ramsay Hunt syndrome were associated with diabetes mellitus, while 14.1% of the cases of Bell's palsy and 10.4% of the cases of Ramsay Hunt syndrome were associated with hypertension. In the patients over 40 years of age, rates of association with diabetes and hypertension were 11.2% and 23.0% in Bell's palsy and 1.3% and 10.4% in Ramsay Hunt syndrome, respectively. The rates of diabetes and hypertension in association with Bell's pa
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21

Ross, R. "The Ramsay Hunt syndrome." Journal of Neurology, Neurosurgery & Psychiatry 51, no. 4 (1988): 533. http://dx.doi.org/10.1136/jnnp.51.4.533.

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22

Mishriki, Yehia Y. "Ramsay Hunt Syndrome Revisited." SKINmed: Dermatology for the Clinician 3, no. 3 (2004): 130–31. http://dx.doi.org/10.1111/j.1540-9740.2004.03150.x.

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23

OZTURCAN, S. "The Ramsay-Hunt syndrome." Journal of the European Academy of Dermatology and Venereology 11 (September 1998): S242. http://dx.doi.org/10.1016/s0926-9959(98)95486-1.

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24

Shiraiwa, Nobuko, Akira Tamaoka, and Norio Ohkoshi. "Clinical investigation of Ramsay–Hunt syndrome with glossopharyngeal and vagal nerve involvement." Edorium Journal of Neurology 9, no. 1 (2024): 5–8. http://dx.doi.org/10.5348/100019n06ns2024cr.

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Introduction: Ramsay–Hunt syndrome is a peripheral facial nerve palsy accompanied by an erythematous vesicular rash in the ear (zoster oticus). Although involvement of the facial and vestibulocochlear nerves is typical in Ramsay–Hunt syndrome, multiple cranial neuropathies are rare, and are often associated with poorer prognosis and systemic complications. Here, we evaluated the clinical course of a rare case of Ramsay–Hunt syndrome associated with glossopharyngeal and vagal nerve disorders. Case Report: A 75-year-old man presented with right facial paralysis, hoarseness, and dysphagia, leadin
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25

KEF, Kemal. "A case report of atypical Ramsay-Hunt Syndrome presented with severe vertigo and vomiting." Journal of Experimental and Clinical Medicine 38, no. 4 (2021): 693–95. http://dx.doi.org/10.52142/omujecm.38.4.52.

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Ramsay-Hunt Syndrome (Herpes zoster oticus) is often characterized by severe ear pain, vesicles on external auditory canal or auricula and peripheral facial paralysis. However, the patient in this case presented to the clinic with dizziness, pain in the ear and vomiting. During the physical examination there was no vesicles and no evidence of skin changes found around the auricula that were typical for Ramsay Hunt syndrome. The patient did not have facial paralysis. If there is an unexpected severe ear pain accompanying vertigo, Ramsay Hunt syndrome should be considered in the differential dia
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26

Chinyathi, Achieve Denhere, K. B. Chiweza, and K. C. Kapembwa. "Ramsay Hunt syndrome presenting as “a window'' to HIV diagnosis in 48 year old African female: A case report." Medical Journal of Zambia 44, no. 1 (2017): 54–57. http://dx.doi.org/10.55320/mjz.44.1.269.

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Background: Ramsay Hunt syndrome in adults is reported in a number of case reports as an uncommon presentation of Varicella - zoster Virus infection. Ramsay Hunt syndrome occurs when there is reactivation of the latent Varicella - zoster virus present in the ganglia due to previous varicella infection. Following a breakdown of the immune system, latent Varicella - zoster infection can be activated. Human Immunodeficiency Virus infection (HIV), causes immunosuppression and hence reactivation of Varicella - zoster. The diagnosis of Ramsay Hunt syndrome, gives a window of opportunity to investiga
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27

Chinyathi, A. D., K. B. Chiweza, and K. C. Kapembwa. "Case Report Ramsay Hunt Syndrome presenting as “a window’’ to HIV diagnosis in 48 year old African female: A case report." Medical Journal of Zambia 44, no. 1 (2017): 54–57. http://dx.doi.org/10.55320/mjz.44.1.54.

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Background: Ramsay Hunt Syndrome in adults is reported in a number of case reports as an uncommon presentation of Varicella zoster Virus infection. Ramsay Hunt Syndrome occurs when there is reactivation of the latent Varicella zoster virus present in the ganglia due to previous varicella infection. Following a breakdown of the immune system, latent Varicella zoster infection can be activated. HIV (Human Immunodeficiency Virus infection), causes immunosuppression and hence reactivation of Varicella zoster. The diagnosis of Ramsay Hunt Syndrome, gives a window of opportunity to investigate for H
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28

Stafford, F. W., and A. R. Welch. "The use of Acyclovir in Ramsay Hunt Syndrome." Journal of Laryngology & Otology 100, no. 3 (1986): 337–40. http://dx.doi.org/10.1017/s0022215100099242.

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AbstractAcyclovir is a specific anti-viral agent which has been used in the treatment of the Ramsay Hunt Syndrome with encouraging results. To our knowledge, no previous study has been published utilizing this treatment. A discussion is also undertaken of the underlying pathology and prognosis of the Ramsay Hunt Syndrome, with a summary of those cases in which Acyclovir was prescribed.
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29

Kuhweide, R., V. Van de Steene, S. Vlaminck, and J. W. Casselman. "Ramsay Hunt syndrome: pathophysiology of cochleovestibular symptoms." Journal of Laryngology & Otology 116, no. 10 (2002): 844–48. http://dx.doi.org/10.1258/00222150260293691.

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Ramsay Hunt’s hypothesis that herpes zoster oticus results from reactivation of the varicella zoster virus (VZV) in the geniculate ganglion is supported by the detection of viral genome in archival temporal bones of normals and Ramsay Hunt patients by the polymerase chain reaction. Ramsay Hunt syndrome is characterized by the presence of cochleovestibular symptoms in association with facial paralysis. VZV has also been demonstrated in the spiral and/or vestibular ganglion. Two cases are reported in which cochleovestibular symptoms outweighed the facial nerve symptoms, presumably representing V
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30

Moon, Sung-Kyun, Myung-Hyun Chung, and Joo Hwan Lee. "Cranial Polyneuropathy in Ramsay Hunt Syndrome." Journal of Clinical Otolaryngology Head and Neck Surgery 9, no. 1 (1998): 50–54. http://dx.doi.org/10.35420/jcohns.1998.9.1.50.

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31

Kulińska - Michalska, Małgorzata, and Konrad Michalski. "Ramsay - Hunt syndrome - case report." Medycyna Ogólna i Nauki o Zdrowiu 24, no. 1 (2018): 1–3. http://dx.doi.org/10.26444/monz/83279.

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32

Mohd. "Ramsay Hunt Syndrome: Case Report." American Medical Journal 3, no. 2 (2012): 237–39. http://dx.doi.org/10.3844/amjsp.2012.237.239.

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33

Millichap, J. Gordon. "Treatment of Ramsay Hunt Syndrome." Pediatric Neurology Briefs 11, no. 3 (1997): 21. http://dx.doi.org/10.15844/pedneurbriefs-11-3-8.

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34

Ho, T. H., and C. H. Chou. "Ramsay Hunt syndrome type II." QJM: An International Journal of Medicine 112, no. 1 (2018): 55. http://dx.doi.org/10.1093/qjmed/hcy182.

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35

Gupta, Jagan, Troy Hutchins, and Enrique Palacios. "Ramsay Hunt Syndrome, Type I." Ear, Nose & Throat Journal 86, no. 3 (2007): 138–40. http://dx.doi.org/10.1177/014556130708600306.

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36

Sweeney, C. J. "NOSOLOGICAL ENTITIES?: Ramsay Hunt syndrome." Journal of Neurology, Neurosurgery & Psychiatry 71, no. 2 (2001): 149–54. http://dx.doi.org/10.1136/jnnp.71.2.149.

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37

Zhu, S., and Y. Pyatkevich. "Ramsay Hunt syndrome type II." Neurology 82, no. 18 (2014): 1664. http://dx.doi.org/10.1212/wnl.0000000000000388.

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38

Luis Boemo, Rafael, María Luisa Navarrete, Ana María García-Arumí, Susana Lareo Copa, Domingo Graterol, and Enrique Perelló Scherdel. "Ramsay Hunt syndrome: our experience." Acta Otorrinolaringologica (English Edition) 61, no. 6 (2010): 418–21. http://dx.doi.org/10.1016/s2173-5735(10)70077-6.

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39

Maeda, Tadashi, Sadako Yoshizawa, Takehisa Hirayama, Tomoo Saga, Kazuhiro Tateda, and Yoshihisa Urita. "Neurosyphilis Mimicking Ramsay Hunt Syndrome." Journal of Nippon Medical School 82, no. 5 (2015): 254–56. http://dx.doi.org/10.1272/jnms.82.254.

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40

Zainine, R., M. Sellami, A. Charfeddine, N. Beltaief, S. Sahtout, and G. Besbes. "Le syndrome de Ramsay Hunt." Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale 129, no. 1 (2012): 28–31. http://dx.doi.org/10.1016/j.aforl.2011.11.004.

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41

Lin, Michelle. "Don't Miss Ramsay Hunt Syndrome." Emergency Medicine News 45, no. 10 (2023): 21. http://dx.doi.org/10.1097/01.eem.0000990132.05491.fb.

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42

Hato, Naohito, Hisanobu Kisaki, Nobumitsu Honda, Kiyofumi Gyo, Shingo Murakami, and Naoaki Yanagihara. "Ramsay Hunt syndrome in children." Annals of Neurology 48, no. 2 (2000): 254–56. http://dx.doi.org/10.1002/1531-8249(200008)48:2<254::aid-ana17>3.0.co;2-v.

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43

Rasmussen, Eva Rye, Eva Lykke, Jan Gren Toft, and Kristianna Mey. "Ramsay Hunt syndrome revisited–emphasis on Ramsay Hunt syndrome with multiple cranial nerve involvement." Virology Discovery 2, no. 1 (2014): 1. http://dx.doi.org/10.7243/2052-6202-2-1.

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44

Imesidayo Omua Eboreime-Oikeh, Oikigbeme Sylvia Oikeh, and Major Usman Ogaba. "A case report of Ramsay Hunt Syndrome involving the cervical dermatomes in Nigeria." World Journal of Biology Pharmacy and Health Sciences 21, no. 2 (2025): 090–93. https://doi.org/10.30574/wjbphs.2025.21.2.0109.

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A rare neurological disorder, Ramsay Hunt Syndrome is caused by reactivation of varicella-zoster virus in the geniculate ganglion. The syndrome typically comprises a triad of unilateral facial palsy, vesicular rash around the ear canal or mouth and otalgia. However, atypical cases occur posing diagnostic challenges and risk of poorer outcomes. The purpose of this report is to highlight an atypical presentation of this syndrome where published cases are limited. We describe a 56-year-old Nigerian woman who presented with incomplete triad of Ramsay Hunt Syndrome characterized by unusual cervical
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45

Marsden, C. D., and J. A. Obeso. "Viewpoints on the Ramsay Hunt syndrome. The Ramsay Hunt syndrome is a useful clinical entity." Movement Disorders 4, no. 1 (1989): 6–12. http://dx.doi.org/10.1002/mds.870040103.

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46

Chan, L., A. Cartagena, SM Hosseini, and A. Bombassaro. "Ramsay Hunt Syndrome associated with central nervous system involvement in an adult: a case report." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 42, S1 (2015): S29—S30. http://dx.doi.org/10.1017/cjn.2015.141.

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Background: Ramsay Hunt Syndrome with cerebellar encephalitis is rare in adult. Case Report: We describe a 55-year-old diabetic female who presented with truncal ataxia, right peripheral facial palsy and right ear pain associated with erythematous vesicular lesions in her external auditory canal. Later, she developed dysmetria, fluctuating diplopia and dysarthria. No facial lesions were identified and lesions were limited to the external auditory canal. Cerebral spinal fluid tested positive for varicella zoster virus polymerase chain reaction. She was diagnosed with Ramsay Hunt Syndrome with s
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47

Tassinari, C. A., R. Michelucci, A. E. Lehesjoki, et al. "RAMSAY HUNT SYNDROME AND UNVERRICHT LUNDBORG SYNDROME." Journal of Clinical Neurophysiology 10, no. 2 (1993): 245. http://dx.doi.org/10.1097/00004691-199304000-00035.

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48

Nagayama, Yoshio, Naoki Matsushiro, Akihide Nampei, Hideo Hashimoto, and Kenrin Shi. "Ramsay Hunt Syndrome in a Patient with Rheumatoid Arthritis after Treatment with Infliximab." Case Reports in Rheumatology 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/897647.

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A 39-year-old female patient with rheumatoid arthritis developed Ramsay Hunt syndrome after infliximab treatment. This condition is caused by the reactivation of varicella zoster virus infection in the geniculate ganglion of facial nerve in the host’s immunosuppression. She was treated immediately with valaciclovir and hydrocortisone, and the complete recovery was achieved at 6 months after the onset. This is the first report of Ramsay Hunt syndrome as an adverse effect of infliximab in rheumatoid arthritis.
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49

Borges, Lauren Cristielly Ferreira, Citrya Jakelline Alves De Sousa, Gabriella Waldraff Teixeira, et al. "Síndrome de Ramsay Hunt: relato de caso / Ramsay Hunt Syndrome: a case report." Brazilian Journal of Health Review 4, no. 3 (2021): 13307–10. http://dx.doi.org/10.34119/bjhrv4n3-280.

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50

Wayman, D. M., H. N. Pham, F. M. Byl, and K. K. Adour. "Audiological manifestations of Ramsay Hunt syndrome." Journal of Laryngology & Otology 104, no. 2 (1990): 104–8. http://dx.doi.org/10.1017/s0022215100111971.

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AbstractRamsay Hunt syndrome is known to cause audiological signs and symptoms, including sudden, unexpected hearing loss. We carried out a retrospective review of the audiological manifestations of 186 patients with Ramsay Hunt syndrome, measuring their hearing loss patterns, hyperacusis, tinnitus, herpetic rash, facial paralysis, pain and vertigo. Statistical correlations of these parameters were equated with prognosis. Prognosis for eventual hearing recovery is, in general, excellent. Prognostic indicators of poor hearing recovery include advanced age, retrocochlear hearing loss, male gende
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