Headache and the Eye

Ula Jurkunas, MD; John W. Gittinger, JR, MD

Disclosures

Compr Ophthalmol Update. 2004;5(4) 

In This Article

Cranial Nerve VII

Idiopathic paralysis of the facial nerve, or Bell's palsy, may be accompanied by pain that usually fades within weeks. Severe and persistent pain inside the ear followed by the facial palsy sug gests the Ramsay Hunt syndrome, herpes zoster oticus (Figure 2). Inspection of the external auditory canal and skin behind the ear usually reveals vesicles. Other features are hearing loss, ver tig o, and lymph node enlargement. Acyclovir is the treatment of choice.[55,56]

Ramsay Hunt syndrome with herpes zoster oticus.

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