Herpes zoster oticus - Revision history

Rossdonaldson1: /* Video */

2024-04-17T20:00:32Z

Video

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	==See Also==		==See Also==
	*[[Herpes zoster ophthalmicus]]		*[[Herpes zoster ophthalmicus]]

	~~==Video==~~
	~~{{#widget:YouTube\|id=YxjhX9lHe_g}}~~

	==References==		==References==

Rossdonaldson1: /* Background */

2023-07-12T21:25:40Z

Background

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	**vestibulocochlear nerve is close to the geniculate ganglion, patients may complain of tinnitus, hearing loss, and vertigo		**vestibulocochlear nerve is close to the geniculate ganglion, patients may complain of tinnitus, hearing loss, and vertigo
	*Caused by [[herpes zoster]]		*Caused by [[herpes zoster]]

			{{Herpes viruses}}

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Clinical Features */

2020-02-03T16:29:19Z

Clinical Features

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	==Clinical Features==		==Clinical Features==
			[[File:Ramsey Hunt Syndrome.png\|thumb\|Ear findings and facial droop classic for Ramsey Hunt Syndrome.]]
	*[[URI]] symptoms common for 1-3 days prior		*[[URI]] symptoms common for 1-3 days prior
	*Paroxysmal [[earache\|pain]] deep within ear: radiates outward into the pinna of the ear<ref>Ryu EW, Lee HY, Lee SY, Park MS, Yeo SG. Clinical manifestations and prognosis of patients with Ramsay Hunt syndrome. Am J Otolaryngol. Nov 8 2011</ref>		*Paroxysmal [[earache\|pain]] deep within ear: radiates outward into the pinna of the ear<ref>Ryu EW, Lee HY, Lee SY, Park MS, Yeo SG. Clinical manifestations and prognosis of patients with Ramsay Hunt syndrome. Am J Otolaryngol. Nov 8 2011</ref>

ClaireLewis at 17:26, 24 September 2019

2019-09-24T17:26:20Z

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	*Also know as "Ramsay Hunt syndrome"		*Also know as "Ramsay Hunt syndrome"
	*Acute peripheral facial neuropathy associated with erythematous vesicular rash of the skin of the ear canal, auricle, or mucous membrane of the oropharynx		*Acute peripheral facial neuropathy associated with erythematous vesicular rash of the skin of the ear canal, auricle, or mucous membrane of the oropharynx
	*Associated facial paralysis usually involving CN VII but may involve CN VIII		*Associated facial paralysis usually involving [[Cranial nerve palsies\|CN VII]] but may involve [[Cranial nerve palsies\|CN VIII]]
	**geniculate ganglion: movements of the facial muscles, sensation of parts of the ear and ear canal, taste function of the tongue, and lubrication of the eyes and oral mucosa		**geniculate ganglion: movements of the facial muscles, sensation of parts of the ear and ear canal, taste function of the tongue, and lubrication of the eyes and oral mucosa
	**vestibulocochlear nerve is close to the geniculate ganglion, patients may complain of tinnitus, hearing loss, and vertigo		**vestibulocochlear nerve is close to the geniculate ganglion, patients may complain of tinnitus, hearing loss, and vertigo
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	==Clinical Features==		==Clinical Features==
	*URI symptoms common for 1-3 days prior		*[[URI]] symptoms common for 1-3 days prior
	*Paroxysmal pain deep within ear: radiates outward into the pinna of the ear<ref>Ryu EW, Lee HY, Lee SY, Park MS, Yeo SG. Clinical manifestations and prognosis of patients with Ramsay Hunt syndrome. Am J Otolaryngol. Nov 8 2011</ref>		*Paroxysmal [[earache\|pain]] deep within ear: radiates outward into the pinna of the ear<ref>Ryu EW, Lee HY, Lee SY, Park MS, Yeo SG. Clinical manifestations and prognosis of patients with Ramsay Hunt syndrome. Am J Otolaryngol. Nov 8 2011</ref>
	**Usually precedes the rash by several hours and even days		**Usually precedes the rash by several hours and even days
	**Erythema and Swelling of auricle		**Erythema and Swelling of auricle
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	==Management==		==Management==
	''Most effective when started within 3 days of symptom onset''		''Most effective when started within 3 days of symptom onset''
	*Oral analgesia		*Oral [[analgesia]]
	*Antiviral Options<ref>Uscategu T. et al. Antiviral therapy for Ramsay Hunt syndrome in adults. Cochrane Database Syst Rev. 2008</ref>		*[[Antiviral]] Options<ref>Uscategu T. et al. Antiviral therapy for Ramsay Hunt syndrome in adults. Cochrane Database Syst Rev. 2008</ref>
	**[[Acyclovir]] 800mg 5 times a day x 7 days		**[[Acyclovir]] 800mg 5 times a day x 7 days
	**[[~~Famicyclovir~~]] 500mg TID x 7 days		**[[Famciclovir]] 500mg TID x 7 days
	**[[Valacyclovir]] 1000mg TID x 7 days		**[[Valacyclovir]] 1000mg TID x 7 days
	*[[Prednisone]] 60mg qday x 7 days		*[[Prednisone]] 60mg qday x 7 days

Rossdonaldson1 at 19:17, 3 April 2017

2017-04-03T19:17:23Z

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	==Background==		==Background==
	*Also know as "Ramsay Hunt syndrome"		*Also know as "Ramsay Hunt syndrome"
	*~~acute~~ peripheral facial neuropathy associated with erythematous vesicular rash of the skin of the ear canal, auricle, or mucous membrane of the oropharynx		*Acute peripheral facial neuropathy associated with erythematous vesicular rash of the skin of the ear canal, auricle, or mucous membrane of the oropharynx
	*Associated facial paralysis usually involving CN VII but may involve CN VIII		*Associated facial paralysis usually involving CN VII but may involve CN VIII
	**geniculate ganglion: movements of the facial muscles, sensation of parts of the ear and ear canal, taste function of the tongue, and lubrication of the eyes and oral mucosa		**geniculate ganglion: movements of the facial muscles, sensation of parts of the ear and ear canal, taste function of the tongue, and lubrication of the eyes and oral mucosa

Rossdonaldson1: /* Differential Diagnosis */

2017-04-03T19:14:32Z

Differential Diagnosis

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	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Bell's Palsy]]		{{Facial paralysis}}
	*[[CVA]]

	{{Ear DDX}}		{{Ear DDX}}

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-25T01:42:07Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

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	{{VZV types}}		{{VZV types}}

	==~~Diagnosis~~==		==Evaluation==
	*Otoscopy		*Otoscopy
	*[[Neuro exam]] focusing on Cranial nerve, crossed findings, upper and lower motor neuron involvement		*[[Neuro exam]] focusing on Cranial nerve, crossed findings, upper and lower motor neuron involvement

Neil.m.young: Text replacement - "followup" to "follow-up"

2016-07-14T08:48:26Z

Text replacement - "followup" to "follow-up"

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	==Disposition==		==Disposition==
	*Outpatient primary care ~~followup~~		*Outpatient primary care follow-up

	==Prognosis==		==Prognosis==

ClaireLewis: /* Disposition */

2016-07-14T00:51:32Z

Disposition

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	==Disposition==		==Disposition==
	*Outpatient ~~PMD~~ followup		*Outpatient primary care followup

	==Prognosis==		==Prognosis==

Ostermayer: Text replacement - "Category:Neuro" to "Category:Neurology"

2016-03-22T14:15:11Z

Text replacement - "Category:Neuro" to "Category:Neurology"

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	[[Category:Dermatology]]		[[Category:Dermatology]]
	[[Category:ID]]		[[Category:ID]]
	[[Category:~~Neuro~~]]		[[Category:Neurology]]
	[[Category:ENT]]		[[Category:ENT]]