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Revista ORL

versión On-line ISSN 2444-7986


RAMIREZ-SALAS, Jesús Eduardo et al. Clinical manifestations of Ramsay-Hunt Syndrome in a series of 20 cases. Rev. ORL [online]. 2021, vol.12, n.1, pp.3-17.  Epub 05-Abr-2021. ISSN 2444-7986.

Introduction and objective:

Clinical experience has shown us the different forms of presentation and the symptomatic variability that can be revealed by Ramsay-Hunt Syndrome or Herpes Zoster oticus. The descriptions offered by the literature have helped us to corroborate the findings of a group of patients, whose characteristics and evolution we have been gathering over time. Given the importance of early treatment, the objective of this work has been to carry out a structured exposition of this complex syndrome with its various manifestations.


Retrospective study.


20 patients exemplify the different aspects of this process.


It is an infrequent pathology, with a pathognomonic symptomatic triad consisting of ear pain, vesicular rash and facial paralysis. However, this syndrome is not always fully expressed or with the onset of symptoms in the order indicated, often adding cochleovestibular symptoms. The possibility that the infection spreading in a centrifugal and centripetal way, makes it easier for other sensory and motor nerves to be affected, causing cranial polyneuropathy (cephalic herpes zoster) and spinal or even, much less frequently, the appearance of a meningoencephalitis. The mechanisms by which this process progresses, or the triggers are not known with precision, although sometimes there are predisposing factors. Establishing a diagnosis is essential to start the treatment, whose precocity facilitates the resolution of the process.


Being the clinical suspicion the main tool of an early diagnosis, we have found it interesting to carry out this review, given the low frequency of herpes zoster oticus.

Palabras clave : varicella-zoster virus; herpes zoster oticus; Ramsay-Hunt syndrome; facial paralysis; cranial polyneuropathy; encephalitis.

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