*What is Ramsay Hunt Syndrome?*
Ramsay Hunt Syndrome is an infection of your facial nerve, which is also known as the 7th cranial nerve. It is caused from the varicella-zoster virus, which is the same virus that causes chicken pox. Once you have had the chicken pox, the virus lies dormant in your nervous system. If the virus is not destroyed after the initial infection, chicken pox, it can return and affect your facial nerve, Ramsay Hunt Syndrome, or it can cause other disorders including shingles. Anyone who has had chicken pox can have this disorder, but it is most commonly seen in people over 60. It is very rare for this to occur in children. This disorder is not contagious, although the reactivation of the varicella-zoster virus can cause chicken pox in individuals that have not previously had them.
*Symptoms*
A classic symptom of Ramsay Hunt Syndrome is a painful red rash with fluid-filled blisters. These can occur in various places including the outside of your ear, the roof of your mouth, your eardrum, your external ear canal, or on your tongue. People who experience the onset of this disorder tend to think they are having a stroke because facial weakness and paralysis is another common effect. Other symptoms are ear pain, hearing loss, vertigo, ringing in the affected ear(tinnitus), and difficulty closing one eye.
This is a picture of an individual with facial weakness from experiencing Ramsay Hunt Syndrome.
http://www.mayoclinic.com/health/ramsay-hunt-syndrome/DS00878/DSECTION=symptoms
*Diagnosis*
Ramsay Hunt Syndrome is diagnosed by a medical history evaluation and a physical exam. The doctor may also draw fluid from the blisters to confirm the diagnosis.
*Treatment*
The treatment for Ramsay Hunt Syndrome is an antiviral medication, among other medicines for the other things this disorder causes. Therapy may be prescribed to help regain control of the facial muscles. Recovery may take anywhere from several weeks to several months, but if the reaction is severe, full recovery may not be possible.
These are both MRI images with one taken before Gadolinium and one taken after Gadolinium. Notice the enhancement of the cranial nerves on the right side. This, along with the symptoms of the patient, led to the diagnosis of Ramsay Hunt Syndrome.
http://home.flash.net/~drrad/tf/052796a.jpg
it is very nice.An MRI scan is a safe and painless test that can provide detailed pictures of organs and other structures inside your body.
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