Facial paralysis caused by Varicella Zoster Virus

Offering excellent results in the treatment of Ramsay Hunt Syndrome, Dr. Be improves the quality of life of his patients with personalized treatment plans. In line with these excellent results, he brings his patients to the results they desire both psychologically and physically.

What is Ramsay Hunt Syndrome?

Ramsay Hunt syndrome, also known as Herpes Zoster Oticus and named after James Ramsay Hunt, an American neurologist who discovered it in 1907, is a neurological disorder caused by the varicella-zoster virus (VZV). This syndrome is a complication of shingles, which occurs years later in people who have had chickenpox, but is reactivated when a person's immune system is weakened. This ramsay hunt syndrome directly affects the facial nerve (facial nerve) and is characterized by a painful rash in the ear. Therefore, if not diagnosed and treated early in the later stages of the disease, it can cause permanent facial nerve damage and long-term complications.

What Are The Symptoms of Ramsay Hunt Syndrome?

As with any disease, Herpes Zoster Oticus syndrome has certain symptoms. These symptoms vary from person to person, but not everyone has them. The general symptoms of Herpes Zoster Oticus are;

  • Painful rashes on the eardrum, ear canal and earlobe
  • Fluid-filled blisters on the outside of the ear
  • Rashes on the side affected by the varicella-zoster virus
  • Unbearably severe ear pain
  • Ringing in the ear
  • Sudden hearing loss
  • Dry mouth
  • Dryness in the eyes
  • Loss of the sense of taste
  • Permanent facial paralysis
  • Corneal ulcer
  • Blurred consciousness
  • Lethargy
  • Weakness in arms and legs

What Causes Ramsay Hunt Syndrome?

Ramsay Hunt Syndrome, also known as Herpes Zoster Oticus, is generally caused by the varicella-zoster virus, the same virus that causes chickenpox and shingles. This virus also directly affects the cranial nervous system. This is why Herpes Zoster Oticus occurs.

The most important thing to note here is that patients who have had shingles and chickenpox are at high risk of developing Herpes Zoster Oticus. This is because Herpes Zoster Oticus is an activated form of the shingles and chickenpox virus. For this reason, you should always be under the supervision of a doctor for a while after you have had the disease.

Who does Ramsay Hunt Syndrome Affect?

Anyone can get Ramsay Hunt syndrome, but some people are at higher risk of developing it. If we need to examine these people in detail, they are divided into 5 groups. These are; those with a weak immune system, those who have had chicken pox, those with a weak immune system, those who suffer from stress and physical fatigue, and people of advanced age. If we need to examine the people in question;

  1. People who have had chickenpox: The varicella-zoster virus that causes Ramsay Hunt syndrome also causes chickenpox. Therefore, in people who have had chickenpox, the virus can remain latent (dormant) in the nerve roots and reactivate years later, causing Herpes Zoster Oticus.
  2. People of Advancing Age: People aged 60 and over are at higher risk of developing Ramsay Hunt syndrome because the immune system weakens with age. As a result, it becomes easier for the virus to reactivate.
  3. Individuals with a Weak Immune System: People undergoing cancer treatment, HIV/AIDS patients, those who use immunosuppressive drugs after organ transplantation and those with chronic diseases, in short, people with a weakened immune system, are more easily affected by Ramsay Hunt syndrome. Therefore, protect your immune system as much as possible.
  4. Stress and Physical Fatigue: Excessive stress and physical fatigue can weaken the immune system. This causes the virus to reactivate, causing the person to experience ramsay hunt syndrome.
  5. Exposure to Herpes Zoster (Shingles) Infection: In people who have had herpes zoster infection, the virus can reactivate and cause Ramsay Hunt syndrome.

Is Ramsay Hunt Syndrome Contagious?

Ramsay Hunt syndrome is a non-infectious neurological condition. However, the varicella-zoster virus (VZV) that causes the syndrome is contagious. This virus, which is transmitted through fluids from the blisters of people who have the virus, indirectly increases the risk of developing Ramsay Hunt syndrome. Therefore, avoid as much as possible close contact with people who have had chickenpox or who are suffering from shingles. Otherwise, you could catch Herpes Zoster Oticus from the fluid coming out of the bubbles.

How is Ramsay Hunt Syndrome Diagnosed?

Contrary to popular belief, Ramsay hunt syndrome is diagnosed quite easily. The first step in diagnosis is a physical examination. As a result of this physical examination, the surgeon asks questions in the light of the findings. These questions are very important as they facilitate the diagnosis of the disease. After these questions, attention is first paid to redness and rashes on the face. Because these findings are among the most important findings of Herpes Zoster Oticus.

After the physical examination and question/answer session, the doctor will order several tests to make the diagnosis even more certain. These tests generally include blood and saliva tests. This is because the varicella-zoster virus that causes the disease is most often detected in blood and saliva. An MRI scan is then performed to make a full diagnosis of the disease.

How is Ramsay Hunt Syndrome Treated?

There are many different treatment methods for Ramsay hunt syndrome. These treatment methods vary depending on the intensity of the disease and the structure of the person. To examine these treatment methods in detail, the treatment methods of ramsay hunt syndrome are as follows;

  • Antiviral Drugs: Antiviral drugs such as acyclovir, valacyclovir or famciclovir reduce the duration and severity of symptoms by preventing the virus that causes ramsay hunt syndrome from multiplying. Therefore, it is very important to start treatment early.
  • Corticosteroids: Corticosteroids, such as prednisone, are a great help in reducing inflammation. These medications help prevent swelling and damage to the nerves caused by ramsay hunt syndrome. They also relieve inflammation in the body.
  • Painkillers: Painkillers are an important way to relieve the pain caused by Ramsay Hunt Syndrome. Painkillers can relieve severe pain, especially in the later stages of the syndrome.
  • Physical Therapy and Rehabilitation: Conditions such as facial paralysis that occur in the later stages of the disease can be corrected with physical therapy. Because physical therapy generally strengthens the facial muscles and increases their flexibility. Therefore, physical therapy should also be emphasized.
  • Eye Protection: As facial paralysis affects the eyelid, artificial tears, eye patches or moisturizing eye drops can be used to prevent eye dryness and damage.
  • B Complex Vitamins: Since the disease directly affects the nervous system, vitamin B supplements can be used to support the nervous system.

What is The Recovery Time For Ramsay Hunt Syndrome?

The recovery process of ramsay hunt syndrome, which is quite critical, varies from person to person. For this reason, it would be wrong to specify a definite period of time. Because the rate of facial paralysis of each patient is different from each other. At this point, the rate of damage to the facial nerve should be examined. For example, if the damage to the nerves is low, it can heal up to a few months. However, if the rate of damage to the nerves is high, the healing process takes up to 1 year.

Antiviral drugs, which are very important in this disease, show full recovery only if they are started to be used within a few days. Otherwise, the disease can progress to facial paralysis.

Facial Paralysıs Caused By Ramsay Hunt Syndrome

Facial paralysis caused by Ramsay Hunt syndrome occurs when the facial nerve (seventh cranial nerve) becomes inflamed and damaged as a result of reactivation by the varicella-zoster virus. The condition results in the nerves that control the movement of the facial muscles being affected, resulting in sudden and severe muscle weakness in the affected area of the face. Therefore, although the disease is difficult to diagnose, positive results can be achieved by taking early measures.

Treatments For Facıal Paralysis Caused By Ramsay Hunt Syndrome

Facial Paralysis Caused by Ramsay Hunt Syndrome Treatments are very comprehensive and specialized treatments. We can divide these treatments into 4 groups. These are; botox procedure, selective neurolysis application, Masseter nerve transfer and cross facial nerve transplantation.

Cross Facial Nerve Transplant For Ramsay Hunt Syndrome

One of the most important treatments for Ramsay hunt syndrome, cross facial paralysis is a very important procedure. In this way, the intact facial muscles or paralyzed facial muscles are completely supported and the problem of balance and function is completely eliminated. In addition, the patient can perform his/her daily activities more easily.

Masseter Nerve Transfer

Masseter nerve transfer, another treatment for Ramsay hunt syndrome, is a surgical procedure used to treat facial paralysis. In this procedure, an intact nerve (usually the masseter nerve) is connected to the paralyzed facial muscles to regain control of the muscles. This reactivates the nerve fibers that move the paralyzed facial muscles, helping to restore the natural expression and function of the face. For detailed information about this procedure, please visit our nerve transfer page.

Botox For Ramsay Hunt Syndrome

Botox, which is a very easy treatment method, can cure facial paralysis caused by ramsay hunt syndrome. With Botox application, the signals transmitted from the nerves to the muscles are temporarily blocked, allowing the muscles to relax. At the same time, excessive contractions are prevented. This procedure is applied directly to the affected muscles and can be repeated at regular intervals, usually lasting several months. Thus, the quality of life of patients with permanent facial paralysis is improved.

Selective Neurolysis For Facial Paralysis Instıtue Ramsay Hunt Treatment

Facial paralysis in Ramsay hunt syndrome can be treated with selective neurolysis. In particular, the nerves damaged by the disease are completely or partially removed and the pain or spasms on the face are treated. Therefore, facial paralysis caused by ramsay hunt can be resolved in a short time thanks to this procedure. For detailed information about this procedure, you can visit our selective neurolysis page.

Everything You Wondered About Ramsay Hunt Syndrome

Does Ramsay Hunt Syndrome Always Cause a Rash?

Ramsay Hunt syndrome usually causes a rash around the ear, in the ear canal or on the front two-thirds of the tongue. However, it may not always present with a rash. For this reason, sometimes the disease can also present without a rash as fluid-filled blisters on the outside of the ear, dry mouth, confusion, drowsiness and sudden hearing loss.

I have Ramsay Hunt's disease, is there a different prognosis for this?

Ramsay Hunt syndrome has many different prognoses. For example, in the early stages of the disease, antiviral and corticosteroid therapy can be applied. In more advanced stages, treatment methods such as nerve transfer, Botox and Selective Neurolysis can be performed.

Ramsay Hunt Syndrome Before and After in Turkey

You can view our Ramsay Hunt syndrome before and after gallery to see the results of the successful operations performed by Dr. Be in Ramsey Hund syndrome.

 Ramsay Hunt Syndrome Surgery Cost

Turkey, which is in a very favorable position in terms of Ramsay Hunt procedure, is also very advantageous in terms of ramsay hunt syndrome. The main reason for this is that there is an extreme competition in Herpes Zoster Oticus surgeries. In addition to this, another reason why the cost of lip asymmetry is affordable is that Turkey is more favorable in terms of exchange rate and the Ministry of Health provides great support to aesthetic centers.

When we compare the cost of ramsay hunt syndrome surgery in Istanbul with the cost in other cities, we can conclude that Istanbul is more affordable. The main reason for this is that there is more competition in Istanbul. For this reason, you can experience a more comfortable process by choosing aesthetic centers in Istanbul.

Doctor Berke, One of Turkey's Best Ramsay Hunt Syndrome Surgeons

Dr. Be, one of the most successful ramsay hunt syndrome surgeons in Turkey, offers perfect results in Ramsay Hund syndrome surgery. Thus, it allows you to have the look you want by achieving your dream look without any problems.

Frequently Asked Questions About Ramsay Hunt Syndrome

Can Ramsay Hunt syndrome recur?

Ramsay hunt syndrome does not recur if it is treated correctly by specialized doctors. However, the important thing here is to apply the right treatment method. For this reason, if you are considering treatment for ramsay hunt syndrome, you should definitely have a preliminary consultation with a specialist doctor.

Is Ramsay Hunt Syndrome Fatal?

If Ramsay Hunt syndrome is not diagnosed in time and correctly, it can only cause permanent damage. However, this does not result in death.

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