Ramsay Hunt Syndrome Developed Under Valacylovir Treatment; A Case Report

Abstract

Ramsay Hunt Syndrome (RHS) is a syndrome with facial nerve involvement which is accompa-nied by auricular rash and ear pain. Facial paralysis recovers late and with a sequelae. In this article, we reported a case who was first treated with oral valacyclovir and developed RHS at the third day of treatment, and whose facial paralysis fully recovered with early initiation of intrave-nous acyclovir and steroid. As it is in this case; it is important to keep in mind that RHS may develop despite oral antiviral treatment in elderly patients with chronic diseases (patients with chronic, elderly). Steroid and antiinflammatory treatments as well as intravenous antiviral the-rapy should be begun in the first 72 hours of this disease.

Keywords

• Ramsay Hunt Syndrome
• facial paralysis
• prognosis
• Herpes Zoster Oticus