Ramsay Hunt Syndrome misdiagnosed as Bell’s Palsy: a case report
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Date
2025
Authors
Chahrour, Houssein
Smee, Madeleine
Azadian, Anahita
Duhra, Manvir
Jalan, Nav
Journal Title
Journal ISSN
Volume Title
Publisher
UCC Medical Research and Technology Society
Published Version
Abstract
Introduction: Ramsay Hunt Syndrome (RHS) is a neurological disorder caused by the reactivation of latent varicella-zoster virus in the facial nerve. It often presents with ipsilateral facial palsy, otalgia, and vesicular eruptions. RHS is often misdiagnosed as Bell’s palsy, which results in delayed treatment and increases the risk of long-term complications. This case highlights a 38-year-old male initially diagnosed with Bell’s palsy whose symptoms persisted despite standard therapy. He later developed ear pain, discharge, vesicles, and gait instability, prompting a revised diagnosis of RHS. Methods: A comprehensive clinical assessment was conducted, including a detailed patient history, neurological and otologic examination, and laboratory investigations. Diagnostic imaging and serological tests confirmed varicella-zoster virus reactivation. The patient was treated with antiviral therapy (acyclovir), corticosteroids, and symptomatic pain management. Results: The patient initially presented with progressive
Description
Keywords
Ramsay Hunt Syndrome , Bell’s Palsy , Case report
Citation
Chahrour, H., Smee, M., Azadian, A., Duhra, M. and Jalan, N. (2025) 'Ramsay Hunt Syndrome misdiagnosed as Bell’s Palsy: a case report', UCC Student Medical Journal, 5, p. 108. https://doi.org/10.33178/SMJ.2025.1.34