Res Vestib Sci.  2020 Mar;19(1):16-21. 10.21790/rvs.2020.19.1.16.

Atypical Presentation of Acute Vestibular Syndrome with Ramsay Hunt Syndrome

  • 1Department of Neurology, Dankook University College of Medicine, Dankook University Hospital, Cheonan, Korea


Ramsay Hunt syndrome is an acquired paralysis of the face specifically caused by a varicella-zoster virus infection in the facial nerve. Other cranial nerves including vestibulo-cochlear disturbance can be affected. Herein we reported a case of Ramsay Hunt syndrome with atypical vestibular syndrome. Although central vestibular signs including direction changing post head-shaking nystagmus or normal head impulse test are generally meaningful, clinicians need to be careful to interpret them because some findings can be observed not only in cases of central disorders but also in peripheral disorders. Clinical findings such as distinct ear pain and close observation of vesicles are important to diagnose Ramsay Hunt syndrome.


Ramsay Hunt syndrome; Varicella-zoster virus infection; Acute peripheral vestibulopathy; Direction changing head-shaking nystagmus; Ramsay Hunt 증후군; 수두대상포진바이러스; 급성 전정병증; 방향변환성 두진후안진
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