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.
OUR REVIEW
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EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.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.
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.