A Clear Guide to Herpes Zoster Oticus

Prompt Care for Herpes Zoster Oticus

Facial rash with ear pain, hearing changes, or vertigo? Herpes zoster (Ramsay Hunt Syndrome) reactivation is common, especially post-50, and usually treatable, not a serious long-term threat. At Harley AVM, we manage recovery swiftly. Seek urgent AVM care for severe facial paralysis, swallowing issues, or vision changes; these concerning symptoms need immediate antiviral intervention.

Viral Involvement of Hearing and Balance Nerves

An Overview of Herpes Zoster (Ramsay Hunt Syndrome)

Herpes zoster, also known as Ramsay Hunt syndrome, occurs when the varicella zoster virus reactivates and affects the facial nerve near the inner ear. This can disrupt hearing and balance pathways, leading to vertigo, imbalance, hearing loss, tinnitus, and facial weakness, often on one side.

Symptoms may develop rapidly and can include ear pain or a rash around the ear or mouth, though the rash is not always present initially. Because the virus directly affects nerve function, early recognition is important. Prompt assessment supports timely medical treatment aimed at reducing nerve damage and improving recovery of hearing, balance, and facial movement.

Pinpointing the Cause

Diagnosing Herpes Zoster (Ramsay Hunt Syndrome)

When to Get Checked

You should get assessed if sudden vertigo, imbalance, hearing loss, or tinnitus develops on one side, especially when accompanied by ear pain, facial weakness, or a rash around the ear or mouth. Symptoms that progress quickly over hours or days should prompt audiovestibular review.

You should seek urgent assessment if facial paralysis appears, hearing drops suddenly, balance becomes unsafe, or neurological symptoms such as vision changes, difficulty speaking, or swallowing occur. Early evaluation supports prompt treatment and improves recovery outcomes.

Patient receiving cranial nerve evaluation for Ramsay Hunt syndrome symptoms in Harley AVM

How We Assess Herpes Zoster (Ramsay Hunt Syndrome)

At Harley Audiovestibular Clinic, our process starts with giving you a consultation with a senior audiovestibular expert, noting rash onset, ear pain, facial weakness, hearing loss, vertigo, and prior shingles episodes to identify Herpes Zoster Oticus patterns. We prioritise unhurried consultations with our consultants, building a personalised picture of your symptoms.

We proceed with otoscopy, audiometry, facial nerve assessments, vestibular tests, and imaging to confirm the diagnosis precisely, ruling out alternatives. Our senior clinicians review these collaboratively for precise, comprehensive insights. This specialised pathway sets us apart, guiding urgent antivirals and rehabilitation that restore function and prevent complications effectively.

Ramsay Hunt syndrome evaluation with balance and auditory tests at a London UK clinic
Harley Street Audiovestibular Clinic consultation for hearing and balance disorders

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Specialist Tests to Assess Hearing, Balance and Inner Ear Health

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Specialist Care for Herpes Zoster (Ramsay Hunt Syndrome)

Every Herpes Zoster (Ramsay Hunt Syndrome) case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.

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