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Ramsay Hunt syndrome
  1. Martha R Neagu,
  2. Sashank Prasad
  1. Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
  1. Correspondence to Dr Sashank Prasad, Department of Neurology, Brigham and Women's Hospital and Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA; sprasad2{at}

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A 66-year-old man presented with complete right facial paralysis (figure 1). Three days before, he had experienced a burning sensation in the right ear and developed oral lesions. On examination, there was a peripheral right facial palsy with hyperacusis and loss of taste sensation. He had herpetic vesicles on the right anterior tongue and palate (figure 1). We diagnosed Ramsay Hunt syndrome. Following treatment with valacyclovir and corticosteroids, he made a near-complete recovery.

Figure 1

Ramsay Hunt Syndrome. (A) Complete right facial palsy. (B) Vesicular rash on …

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