Ramsay Hunt Syndrome Clinical Features and Treatment

Key Clinical Features

The American Academy of Otolaryngology-Head and Neck Surgery notes that patients with Ramsay Hunt syndrome may experience hearing loss (sensorineural), tinnitus, vertigo, and nystagmus due to the close proximity of the geniculate ganglion to the vestibulocochlear nerve within the bony facial canal 1
The American Academy of Otolaryngology-Head and Neck Surgery reports that vertigo is a symptom of Ramsay Hunt syndrome, which can occur due to the reactivation of varicella-zoster virus in the geniculate ganglion 1

The American Academy of Otolaryngology-Head and Neck Surgery describes the clinical presentation of Ramsay Hunt syndrome as including the classical triad of ipsilateral facial paralysis, otalgia, and vesicular rash, along with potential vestibulocochlear nerve involvement causing hearing loss, tinnitus, vertigo, and nystagmus 2