Ramsay Hunt syndrome is characterized by the symptoms of facial palsy, severe otalgia, and vesicles. In general, it has poor prognosis, leaving many patients with permanent facial nerve dysfunction.
We analyzed retrospectively fifteen cases of Ramsay Hunt syndrome, which had been treated with Acyclovir and prednisolone. In follow-ups of 1 to 39 months, 66.7% of cases had grade Ⅰrecovery, 20% of cases grade Ⅱ, but 13.3% of cases had grade
Ⅲ
and
grade Ⅳ recovery.
There was a tendency that the case with early treatment and delayed onset of facial palsy after the initial symptom had good prognosis. While the study numbers were too small for statistical significance, combined prescription with Acyclovir and
prednisolone seemed to be effective for the treatment of Ramsay Hunt syndrome. (Korean J Otolaryngol 38:6, 1995)
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