The Ramsey Hunt Syndrome: Report of a Case with Vestibular and Cochlear Involvement Successfully Treated with Prednisolone Acetate (Medrol)

Auditory Herpes Zoster without Auricular Eruption (Case Report and Review)

“…Unit in four years, two thirds had auditory and labyrinthine symptoms. At that stage no specific treatment had been found of value and perceptive deafness could have been permanent in five cases‐Vertigo, on the other hand, was never persistently troublesome in that series, possibly because of resistance conferred on the vestibular portion of the eighth nerve by its lower position in the phylogenetic scale (Maddox 1961).…”

“…For example, Sitaraman (1959) reported complete recovery of a case of geniculate herpes with facial palsy on treatment with prednisolone ) 1 for ten days ; Sheard and Felder (1955) re-1 viewed cases where ACTH and cortisone l j had benefited herpes zoster and presented l another case of Ramsay Hunt syndrome with j.;,: 1 _ facial paralysis successfully treated with • ACTH for six days; Freeman (1959) re--~ ported success in corticosteroid therapy in seven out of eight cases of herpes .zoster, the degree of effectiveness being shown to depend on how early diagnosis and treatment were established. In his opinion, full doses should always be given ; Maddox (1961) achieved prompt return of cochlear and facial nerve ' functions after treatment of a case of Ramsay Hunt syndrome with prednisolone. Vestibular damage was again r~fractory to treatment.…”