RAMSAY HUNT SYNDROME-CASE REPORT

Résumé

Purpose: The Ramsay Hunt Syndrome (RHS), also called by Herpes Zoster Oticus, is caused by reactivation of Varicella Zoster Virus (VZV) in the geniculate ganglia. This syndrome is consisting of vesicles in auditory pavilion, ipsilateral otalgia and peripheral facial paralysis. This case report demonstrates classic symptoms of the disease, but the clinician must look carefully to the several presentations, like vague symptoms or atypical scenario. Case description:  A 57 years old man presented with edema in the right external auditory pavilion, otalgia and, posteriorly, ipsilateral peripheral facial paralysis accompanied by vesicles in the right external auditory canal. After treatment with Acyclovir, there was parcial improvement of the peripheral facial paralysis with disappearance of lesions.Conclusions: The first-line treatment includes an association of antivirals e corticosteroids agents, which must be instituted within first 72 hours of syndrome evolution, with better results.