Page 62 - Demo

Feature Ramsay Hunt Syndrome Herpes Zoster OphthalmicusCausative Agent Varicella-Zoster Virus Varicella-Zoster VirusAffected Nerve Facial nerve (CN VII) Ophthalmic branch of trigeminal nerve (CN V1)Primary Symptoms Facial paralysis, ear pain, vesicular rash Pain and rash in the distribution of the ophthalmic nerveRash Location External ear canal, pinna, face Forehead, upper eyelid, tip of noseAssociated Symptoms Hearing loss, tinnitus, vertigo Eye pain, vision changes, conjunctivitisKey Clinical Sign Vesicles on the ear (zoster oticus) Hutchinson's sign (vesicles on tip of nose)Potential Complications Permanent facial weakness, deafness Keratitis, uveitis, optic neuritis, vision lossDiagnosis Clinical presentation, PCR of vesicular fluid Clinical presentation, Hutchinson's signTreatment Antivirals (e.g., acyclovir), corticosteroids Antivirals, pain management, ophthalmology referralPrognosis Variable; early treatment improves outcomes Generally good with prompt treatment, but risk of ocular complications