Ramsay Hunt syndrome (herpes zoster oticus) is caused by the reactivation of the varicella zoster virus in the geniculate ganglion of the seventh cranial nerve.

Features

• auricular pain is often the first feature
• facial nerve palsy
• vesicular rash around the ear
• other features include vertigo and tinnitus

Management

• oral aciclovir and corticosteroids are usually given