When should Ramsay Hunt syndrome be considered in the differential diagnosis of Bell palsy (idiopathic facial paralysis) (IFP)?

Updated: Jun 14, 2019
  • Author: Danette C Taylor, DO, MS, FACN; Chief Editor: Selim R Benbadis, MD  more...
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Answer

If a patient reports the sudden onset of hearing loss and severe pain with the onset of facial paralysis, Ramsay Hunt syndrome must be considered. Typically, these patients will also have an erythematous vesicular rash involving the ear canal, auricle, and/or oropharynx.


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