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.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
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.
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EXCELLENT Based on 107 reviews Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Google Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Google Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Google Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Google Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!
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.
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.
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DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
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.