Ramsy hunt syndrome
The virus affects the geniculate ganglion of the facial nerve.
C.P. 1- Lower motor neuron facial N. paralysis at level of the geniculate ganglion. 2- Ear pain. 3- Vesicles on the auricle and external auditory meatus. 4- SNHL & Vertigo if 8th nerve is affected.
- Neoplastic: a. Tumors of the middle ear as glomus tumor or carcinoma. b. Acoustic neuroma (neurofibroma of the 8th nerve). c. Neuroma of the facial nerve.
Treatment:
- Acyclovir systemically and locally.
- Analgesic for pain .
- Eye care