TY - CHAP M1 - Book, Section TI - Herpes Zoster Oticus (Ramsay Hunt Syndrome) A1 - Jauch, Edward C. A1 - Hall, Gregory A1 - Knoop, Kevin J. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason Y1 - 2021 N1 - T2 - The Atlas of Emergency Medicine, 5e AB - Herpes zoster oticus (HZO), or Ramsay Hunt syndrome, is the second most common cause of facial paralysis, representing 3% to 12% of cases. The syndrome consists of facial and neck pain, auditory symptoms, and facial palsy associated with the reactivation of latent varicella-zoster virus in the facial nerve and geniculate ganglion. Patients first note pruritus, followed by pain out of proportion to the physical examination over the face and ear. Patients may also experience vertigo, hearing loss from involvement of the 8th cranial nerve, tinnitus, rapid onset of facial paralysis, decrease in salivation, loss of taste sensation over the posterolateral tongue, and vesicles on the ear, EAC, and face. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1181040078 ER -