E-ISSN 2149-9934
A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department
1 Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, USA  
JEMCR 2017; 8: 85-87
DOI: 10.5152/jemcr.2017.1913
Key Words: Emergency medicine, neurology, herpes zoster, Ramsay Hunt, otolaryngology

Introduction: Ramsay Hunt syndrome is a rare complication of varicella zoster virus (VZV) reactivation, occurring in only approximately 0.2% of VZV reactivation cases. Despite its rarity, the morbidity associated with the syndrome is high, and the symptoms can be varied and nonspecific.


Case Report: This report presents the case a 42-year-old female with an atypical presentation of Ramsay Hunt syndrome. Initially, her symptoms were concerning with regard to stroke; however, stroke workup was normal, and the consultants considered her symptoms to be the most consistent with Ramsay Hunt syndrome.


Conclusion: The classical symptoms of Ramsay Hunt syndrome include otalgia; a vesicular rash in either the auditory canal, hard palate, or anterior two-third of the tongue; and ipsilateral facial paralysis or weakness. Our literature review revealed that there were no similar case reports; however, all emergency physicians should include this syndrome as part of the differential diagnosis of patients who present with unilateral paralysis.



Cite this article as: Dunay S, Taylor A, Knutson T. A Suspected Atypical Case of Ramsay Hunt Syndrome Diagnosed in The Emergency Department. J Emerg Med Case Rep 2017; 8: 85-7.

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