Materiały źródłowe

• #1 Ramsay Hunt Syndrome Treatment & Management: Approach Considerations, Medical Care, Consultations

  https://emedicine.medscape.com/article/1166804-treatment

  Early initiation of treatment, preferably within three days of symptom onset, is critical for optimal therapeutic outcomes. […] Preventive strategies against the varicella zoster virus encompass vaccination with the chickenpox vaccine in children and the shingles vaccine in individuals aged 50 and older. These vaccinations significantly decrease the risk of viral infection, subsequently reducing the incidence of Ramsay Hunt syndrome.

• #2 Ramsay Hunt syndrome

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6323042/

  Ramsay Hunt syndrome is a type of acute herpes zoster, which occurs by reactivation of the varicella-zoster virus at the geniculate ganglion. […] Combination treatment containing anti-viral agents and steroids is recommended for the treatment of Ramsay Hunt syndrome. […] Additionally, early diagnosis of Ramsay Hunt syndrome is a crucial factor to improve damaged nerves in Ramsay Hunt syndrome, which initiates treatment as soon as possible. […] Early treatment with a combination of acyclovir and prednisone is reported to be effective to treat Ramsay Hunt syndrome. […] Antiviral agents such as acyclovir and famciclovir improve acute pain and recovery of lesions from herpes zoster and prevent the occurrence of postherpetic neuralgia. […] Steroids have a strong anti-inflammatory action, which reduces inflammation and edema in the nerves involved in herpes zoster, which can lead to accelerated recovery of the affected nerves. […] Acyclovir-prednisone was found to prevent degeneration of nerves with nerve excitability testing and enhance the recovery rate of facial nerve palsy. […] Additionally, early treatment can improve hearing loss.

• #3 Ramsay Hunt syndrome – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/ramsay-hunt-syndrome/symptoms-causes/syc-20351783

  Children are now routinely vaccinated against chickenpox, which greatly reduces the chances of becoming infected with the chickenpox virus. A shingles vaccine for people age 50 or older also is recommended.

• #4 Ramsay Hunt syndrome: Everything you wanted to know

  https://blog.providence.org/blog/ramsay-hunt-syndrome-everything-you-wanted-to-know

  Chickenpox and shingles vaccines are recommended for children and adults and can protect against Ramsay Hunt syndrome. […] Vaccination against the varicella virus is the best defense against Ramsay Hunt syndrome. The chickenpox vaccine was first available in 1995, with the first shingles vaccine following in 2006. Fortunately, this rare condition may become even rarer in the future: The Centers for Disease Control and Prevention estimates that more than 90% of children under age two have been vaccinated against chickenpox.

• #5 Ramsay Hunt Syndrome and the Pharmacist

  https://www.uspharmacist.com/article/ramsay-hunt-syndrome-and-the-pharmacist

  To reduce the risk of RHS, preventive vaccinations for VZV and HZ are recommended. […] The VZ vaccine, which is indicated for children aged 12 months and older, has a mean effectiveness of 92% in preventing varicella infection. […] Zostavax, a live attenuated virus, was the first shingles vaccine to be approved in the U.S., but it has been replaced by Shingrix, a recombinant glycoprotein E vaccine, which has superior efficacy. […] Shingrix decreases the risk of shingles and PHN development in patients aged 50 years and older and in those who previously received Zostavax. […] It is vital for the pharmacist to recognize possible RHS and urge an immediate physician visit. Treatment initiated within 3 days of symptom onset reduces the risk of long-term complications. […] The pharmacist can also stress to patients the importance of vaccination for chickenpox and shingles and provide assistance in the treatment of PHN, dry eye, and dry mouth.

• #6 Ramsay Hunt Syndrome: What to Know | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2022/06/ramsay-hunt-syndrome-what-know

  „Treatments such as antiviral medicines are available to help treat shingles or RHS. To better improve recovery, patients may be given steroids in addition to an antiviral medication. A shingles vaccine could also help prevent the disease and complications.” […] „People aged 50 and older are eligible to get a shingles vaccinealso known as Shingrix. The two-dose shingles vaccine can be provided to adults 19 years and older who have a weakened immune system.” […] „It’s also important to be vaccinated against chickenpox. Chickenpox vaccinations can start as young as 12 months. Anyone who is 13 years or older and has not received a chickenpox vaccine should get one. If you’ve never had chickenpox, you should get vaccinated.”

• #7 Ramsay Hunt syndrome type 2 – Wikipedia

  https://en.wikipedia.org/wiki/Ramsay_Hunt_syndrome_type_2

  Shingles is prevented by immunizing against the causal virus, varicella zoster, using a zoster vaccine. Vaccination is recommended for adults 50 and older. Two versions of the vaccine are available, the live attenuated Zostavax (now discontinued in the US, essentially a larger-dose chickenpox vaccine) and the protein subunit Shingrix. […] Treatment apparently has no effect on the recovery of hearing loss.

• #8 Healthy Driven Blogs

  https://www.eehealth.org/blog/2022/06/what-is-ramsay-hunt-syndrome/

  Shingrix, the shingles vaccine, can provide protection against both shingles and Ramsay Hunt syndrome. Its available for adults age 50 and older, given in two doses 2-6 months apart, and is more than 90 percent effective in preventing shingles. […] If you havent had chickenpox and have not been vaccinated against the virus, its a good idea to get that shot, too. Anyone age 12 months or older can receive the varicella vaccine, also called the chickenpox vaccine, which is 92 percent effective in preventing infection with the virus that causes chickenpox and its future complications.

• #9 Ramsay Hunt Syndrome – Balance & Dizziness Canada

  https://balanceanddizziness.org/disorders/vestibular-disorders/ramsay-hunt-syndrome/

  Fortunately, vaccination can help prevent reactivation of the herpes zoster virus. About 20% of people that have had chickenpox are likely to get shingles and potentially RHS without the vaccine. […] Shingrix® is recommended by Canada’s National Advisory Committee on Immunization for those 50 years and older who: […] Shingrix®, first used in Canada in 2017, has been shown to reduce the risk of getting shingles by 97% in those over 50 years of age and by 91% in those over 70 years of age. […] Talk with your family doctor before getting either vaccine. […] Canadian children have been routinely vaccinated against chickenpox since the early 2000s. This greatly reduces their likelihood of becoming infected with chickenpox and then possibly shingles later on.

• #10 Ramsay Hunt Syndrome | Facial paralysis | Plastic surgery services | University Hospitals | Cleveland, OH | University Hospitals

  https://www.uhhospitals.org/services/ear-nose-and-throat-services/conditions-and-treatments/facial-procedures/facial-paralysis/ramsay-hunt-syndrome

  The best protection against shingles and Ramsay Hunt Syndrome is to be vaccinated against chickenpox, reducing the chances of becoming infected with the virus. […] However, even if vaccinated for chickenpox as a child, adults over 50 should receive the shingles vaccine as immunity wanes over time.

• #11 Ramsay Hunt syndrome: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001647.htm

  There is no known way to prevent Ramsay Hunt syndrome, but treating it with medicine soon after symptoms develop can improve recovery.

• #12 Ramsay Hunt Syndrome – Rare Awareness Rare Education

  https://rareportal.org.au/rare-disease/ramsay-hunt-syndrome/

  Timely treatment of Ramsay Hunt syndrome may reduce the possibility of long-term complications. […] The best way to protect against shingles and Ramsay Hunt syndrome is vaccination against the varicella-zoster virus (also known as herpes-zoster virus). Immunisations against this virus are available in Australia, but the cost of immunisation may only be subsidised (funded under the National Immunisation Program (NIP)) for certain high-risk groups. […] There are vaccines available to protect against the varicella-zoster virus, with separate vaccines to reduce the risk of chicken pox and shingles which include related complications such as Ramsay Hunt syndrome.

• #13 An unexpected case of Ramsay hunt syndrome: case report and literature review | BMC Research Notes | Full Text

  https://bmcresnotes.biomedcentral.com/articles/10.1186/1756-0500-6-337

  Ramsay Hunt Syndrome (RHS) is a rare, severe complication of varicella zoster virus (VZV) reactivation. […] Without treatment, full recovery of the facial paralysis occurs in as little at 20% of cases; this is much improved if treatment is started within 72 hours. […] Early intervention with antivirals and corticosteroids has shown significantly improved outcomes in these patients. […] Despite the absence of RCTs on RHS management, when considering the possibility of lifelong facial paralysis and hearing loss, experts recommend combination antiviral and corticosteroid therapy within the first 72 h of symptoms. […] The largest RHS treatment study was a retrospective analysis of 80 cases. Patients treated with acyclovir and prednisone within 72 hours of symptom onset had a complete recovery rate of 75% vs those treated after 7 days, who had a complete recovery rate of 30%.

• #14 Ramsay Hunt Syndrome Type 2 – EyeWiki

  https://eyewiki.org/Ramsay_Hunt_Syndrome_Type_2

  Ramsay Hunt syndrome type 2 is caused by reactivation of varicella zoster virus in the geniculate ganglion. […] Primary Prevention: Varicella vaccination with 2 doses of varicella vaccine 4 to 8 weeks apart. If previously vaccinated, the second dose should be 4 weeks after the initial injection. […] Prompt diagnosis and initiation of steroids and antiviral are the current recommendations. […] Early diagnosis and early initiation of steroids and antivirals are key to complete recovery. Retrospective studies have shown that when treatment is initiated within 3 days, complete resolution of facial nerve paralysis for 70% of the patients. However, when therapies start 7 days after symptom onset, only 30% of the patients achieve complete resolution of facial paralysis using the HouseBrackmann score to grade the degree of nerve damage in a facial nerve palsy. […] Oral corticosteroids and acyclovirs are recommended for treatment of Ramsay Hunt Syndrome.

• #15 KoreaMed Synapse

  https://synapse.koreamed.org/articles/1110839

  Ramsay Hunt syndrome is a type of acute herpes zoster, which occurs by reactivation of the varicella-zoster virus at the geniculate ganglion. […] Combination treatment containing anti-viral agents and steroids is recommended for the treatment of Ramsay Hunt syndrome. […] Additionally, early diagnosis of Ramsay Hunt syndrome is a crucial factor to improve damaged nerves in Ramsay Hunt syndrome, which initiates treatment as soon as possible. […] Early treatment with a combination of acyclovir and prednisone is reported to be effective to treat Ramsay Hunt syndrome. […] Antiviral agents such as acyclovir and famciclovir improve acute pain and recovery of lesions from herpes zoster and prevent the occurrence of postherpetic neuralgia. […] The effects of acyclovir-prednisone treatment were investigated in 80 patients with Ramsay Hunt syndrome.

• #16 :: JDAPM :: Journal of Dental Anesthesia and Pain Medicine

  https://jdapm.org/DOIx.php?id=10.17245/jdapm.2018.18.6.333

  Ramsay Hunt syndrome is a type of acute herpes zoster, which occurs by reactivation of the varicella-zoster virus at the geniculate ganglion. […] Combination treatment containing anti-viral agents and steroids is recommended for the treatment of Ramsay Hunt syndrome. […] Additionally, early diagnosis of Ramsay Hunt syndrome is a crucial factor to improve damaged nerves in Ramsay Hunt syndrome, which initiates treatment as soon as possible. […] Early treatment with a combination of acyclovir and prednisone is reported to be effective to treat Ramsay Hunt syndrome. […] Antiviral agents such as acyclovir and famciclovir improve acute pain and recovery of lesions from herpes zoster and prevent the occurrence of postherpetic neuralgia. […] The effects of acyclovir-prednisone treatment were investigated in 80 patients with Ramsay Hunt syndrome.

• #17 Ramsay Hunt Syndrome: What Is It, Treatment, Symptoms, Types, Causes

  https://www.emedicinehealth.com/how_to_treat_ramsay_hunt_syndrome/article_em.htm

  Ramsay Hunt syndrome treatment includes antiviral medications, corticosteroids, pain medication, vertigo suppressants, and corneal injury prevention. […] Prevention of corneal injury includes the inability to properly close the eye can expose the cornea to abnormal drying and foreign body irritation, eye patch to protect the eye, and artificial tears and lubricating ointments are used to protect the cornea.

• #18 Can Ramsay Hunt Syndrome Cause Eye Damage?

  https://www.allaboutvision.com/conditions/related/ramsay-hunt-syndrome/

  Ramsay Hunt syndrome can trigger eye-related symptoms in a few ways. This includes facial paralysis, which interferes with eye movement, as well as potential harm to the cornea. […] To prevent such damage, patients may be directed to wear an eye patch or apply artificial tears to the affected eye daily. […] The best way to prevent these problems is to begin treatment within three days of onset of symptoms.

• #19 Ramsay Hunt Syndrome – MD Searchlight

  https://mdsearchlight.com/infectious-disease/ramsay-hunt-syndrome/

  When talking to patients about Ramsay Hunt syndrome, its important to clarify that everyone will improve, but not everyone will fully recover. Here, not fully getting better can mean experiencing things like synkinesis (unintentional movement or muscle contractions) and postherpetic neuralgia (persistent nerve pain after shingles). One of the critical things for patients to understand is the need to protect their eyes during the time of facial muscle weakness. Even though this weakness is temporary, theres still a risk of permanent eye damage during this period. For this reason, patients are advised to use artificial tears during the day, lubricating eye ointment at night, and techniques like stretching and taping their eyelids. These simple measures can significantly impact the long-term outcome of their condition.

• #20

  https://healthmatch.io/shingles/ramsay-hunt-syndrome

  According to the CDC, you can reduce the risk of infection and complications from the varicella-zoster virus in two ways. Firstly, with the chickenpox vaccine in children or the shingles vaccine in adults 50 and older. The vaccines greatly reduce the risk of developing infection and complications from varicella-zoster virus and, by extension, Ramsay Hunt syndrome. […] The CDC recommends that those with Ramsay Hunt syndrome avoid coming into touch with older adults or anyone with an impaired immune system. It also recommends avoiding contact with those who have never had chickenpox, newborns, and pregnant women until their blisters have scabbed over.

• #21 Ramsay Hunt Syndrome – MD Searchlight

  https://mdsearchlight.com/infectious-disease/ramsay-hunt-syndrome/

  Patients with active sores also need to avoid close contact with people who are unvaccinated or have weakened immune systems. This is because they can spread the virus causing their condition, the varicella-zoster virus, from their sores. […] The shingles vaccine could also potentially prevent Ramsay Hunt syndrome, although its not 100% effective. Its also worth noting that while most people will not get chickenpox or shingles more than once, there have been cases, especially in people with weaker immune systems.

• #22 Ramsay Hunt Syndrome: Causes, Symptoms, Treatment, and Cost

  https://www.lybrate.com/topic/ramsay-hunt-syndrome

  There are no specific ways to prevent Ramsay Hunt syndrome, but maintaining a strong immune system may decrease the risk of developing the condition. The varicella-zoster virus, which causes Ramsay Hunt syndrome, may be protected against by receiving the chickenpox and shingles vaccines. It may also be possible to lessen the risk of transmission by avoiding close contact with patients who have current herpes zoster infections. Additionally, early treatment of any symptoms of shingles or herpes zoster may help prevent the condition from progressing to Ramsay Hunt syndrome. […] There are no specific ways to prevent Ramsay Hunt syndrome, but maintaining a strong immune system may decrease the risk of developing the condition. The varicella-zoster virus, which causes Ramsay Hunt syndrome, may be protected against by receiving the chickenpox and shingles vaccines. It may also be possible to lessen the risk of transmission by avoiding close contact with patients who have current herpes zoster infections. Additionally, early treatment of any symptoms of shingles or herpes zoster may help prevent the condition from progressing to Ramsay Hunt syndrome.

• #23 Ramsay Hunt Syndrome, Explained by Dr. Amit Kochhar – Pacific Neuroscience Institute

  https://www.pacificneuroscienceinstitute.org/blog/facial-pain/ramsay-hunt-syndrome-explained-by-dr-amit-kochhar/

  Ramsay Hunt syndrome is a form of virally-induced facial paralysis caused by reactivation of the herpes zoster virus, which is more commonly known as varicella zoster, the chickenpox virus. […] Patients who have had the vaccine to chicken pox or shingles are protected against it. […] Ramsay Hunt syndrome is believed to occur during periods of high stress that can cause ones immune system to be suppressed. This can also occur if someone is taking immunosuppressive medications to artificially suppress the immune system as well. […] If patients develop these symptoms, we typically recommend facial retraining physical therapy, or botulinum (botox) injections to relax the overactive muscles and improve facial symmetry.

• #24 Ramsay Hunt Syndrome and Facial Paralysis: What You Need to Know – New York Facial Paralysis

  https://www.newyorkfacialparalysis.com/blog/ramsay-hunt-syndrome-and-facial-paralysis-what-you-need-to-know/

  The best way to prevent Ramsay Hunt Syndrome is to get vaccinated against the varicella-zoster virus. The chickenpox and shingles vaccine can help prevent the virus from reactivating and causing Ramsay Hunt Syndrome. […] Ramsay Hunt Syndrome is a rare condition that can significantly impact the quality of life of those affected by it. While there is no cure for the condition, early diagnosis and treatment can help reduce symptoms’ severity and duration. If you experience any symptoms of Ramsay Hunt Syndrome, it is important to seek a consultation at New York Facial Paralysis immediately. Contact us today to learn more.

• #25 Ramsay Hunt Syndrome Is Treatable | UT Physicians

  https://www.utphysicians.com/justin-biebers-mystery-illness-ramsay-hunt-syndrome/

  Most individuals recover from RHS, but there is still a possibility of lingering damage or disability. […] Lindsey recommends all individuals ages 50 and older receive their VZV vaccine to reduce the risk of Ramsay Hunt syndrome and shingles.

• #26 What to Know About Ramsay Hunt Syndrome – UMMS Health

  https://health.umms.org/2022/06/22/ramsay-hunt-syndrome/

  There is no known way to prevent getting Ramsey Hunt syndrome, including vaccines. While there is a vaccine for VZV, which can cause Ramsey hunt syndrome, you can still get Ramsey Hunt syndrome if you have been vaccinated.

• #27 Ramsay Hunt Syndrome – A Diagnostic Dilemma – MedCrave online

  https://medcraveonline.com/JOENTR/ramsay-hunt-syndrome-ndash-a-diagnostic-dilemma.html

  RHS is a rare, severe complication of varicella zoster virus (VZV) reactivation in the geniculate ganglion. […] Early diagnosis and accurate treatment for patients with idiopathic facial palsy (Bell palsy) and Ramsay Hunt syndrome may accelerate recovery and prevent possible complications. […] Without treatment, full recovery of the facial paralysis occurs in as little as 20% of cases; this is much improved if treatment is started within 72 hours. […] The most recommended therapy for RHS is the combination of acyclovir and prednisone. […] Acyclovir is an effective antimicrobial agent against actively replicating herpes zoster viruses. […] Adjunctive steroid therapy can be helpful in the management of the facial paralysis of RHS. […] To conclude, although patients with Ramsay Hunt syndrome have poorer prognosis than do those with Bells palsy, early combination therapy of steroids with antivirals within 3 days of the onset of facial palsy is beneficial.

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