Treatment of ramsay hunt syndrome with acyclovir‐prednisone: Significance of early diagnosis and treatment

@article{Murakami1997TreatmentOR,
  title={Treatment of ramsay hunt syndrome with acyclovir‐prednisone: Significance of early diagnosis and treatment},
  author={Shingo Murakami and Naohito Hato and J Horiuchi and Nobumitu Honda and K Gyo and Naoaki Yanagihara},
  journal={Annals of Neurology},
  year={1997},
  volume={41}
}
Although the antiviral agent acyclovir is currently used for the treatment of Ramsay Hunt syndrome, its effects on facial nerve and hearing recovery remain controversial. We retrospectively analyzed the effects of acyclovir‐prednisone treatment in 80 Ramsay Hunt patients. Of 28 patients for whom treatment was begun within 3 days of the onset of facial paralysis, the recovery from paralysis was complete in 21 (75%). By comparison, of 23 patients for whom treatment was begun more than 7 days… Expand
Acyclovir improves recovery rate of facial nerve palsy in Ramsay Hunt syndrome.
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The AS therapy was proved to keep good degree of nerve function indicated with nerve excitability testing and improve recovery rate of facial nerve in Ramsay Hunt syndrome. Expand
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TLDR
The aim of this case report is to emphasize the importance of careful examination and early initiation of therapy in suspected cases of Ramsay Hunt syndrome. Expand
Comparison of Acyclovir and Famciclovir for Ramsay Hunt Syndrome.
TLDR
Recovery rates in patients with RHS were higher following treatment with steroids plus famciclovir than with steroid plus acyclovir, especially in patients without hypertension and diabetes mellitus. Expand
[Treatment of Bell's palsy with acyclovir and prednisolone].
TLDR
Early treatment, within 3 days after palsy onset, is necessary for effective acyclovir-prednisolone therapy of Bell's palsy, and this early treatment was highly efficacious in the prevention of nerve degeneration and resulted in a significantly better recovery. Expand
Ramsay Hunt Syndrome Treated with Oral Acyclovir.
TLDR
The present case report aims to highlight the beneficial effects of instituting early oral acyclovir, resulting in faster recovery and decreasing the long term sequelae of this syndrome. Expand
Successful response of non-recovering Ramsay Hunt syndrome to intravenous high dose methylprednisolone
TLDR
A case series of two patients with RHS unsuccessfully treated with antiviral drugs and oral corticosteroids are described, showing an almost complete recovery after late administration of intravenous (i.v.) high dose methylprednisolone. Expand
Acyclovir in the Treatment of Ramsay Hunt Syndrome
Ramsay Hunt syndrome is an herpetic disease with ominous prognosis regarding the facial nerve. Treatment with acyclovir, a well-known virostatic agent, has been given in a small number of patients inExpand
Prognostic Factors in Herpes Zoster Oticus (Ramsay Hunt Syndrome)
  • S. Coulson, G. Croxson, R. Adams, Victoria Oey
  • Medicine
  • Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2011
TLDR
All patients with HZO improved facial function to some degree, with the mean gain at 1 year after onset being 3 HB grade units, but improvement was less for patients who initially had both incomplete eye closure and dry eye. Expand
Antiviral therapy for Ramsay Hunt syndrome (herpes zoster oticus with facial palsy) in adults.
TLDR
No evidence is found that anti-viral agents have a beneficial effect on outcomes in Ramsay Hunt syndrome, despite their widespread use in this condition. Expand
Ramsay Hunt Syndrome – A Diagnostic Dilemma
TLDR
Due to the anti-inflammatory effect of steroids, an enhanced recovery can be achieved in patients with steroid treatment in Bell palsy and Ramsay Hunt syndrome, and the treatment for patients with Ramsay Hunt with antiviral agents may prevent disease progression and improve prognosis by inhibiting the spread of herpes zoster virus. Expand
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