Symptoms

The two main signs and symptoms of Ramsay Hunt syndrome are:

• A painful red rash with fluid-filled blisters on, in and around one ear
• Facial weakness or paralysis on the same side as the affected ear

Usually, the rash and the facial paralysis occur at the same time. Sometimes one can happen before the other. Other times, the rash never occurs.

If you have Ramsay Hunt syndrome, you might also experience:

• Ear pain
• Hearing loss
• Ringing in your ears (tinnitus)
• Difficulty closing one eye
• A sensation of spinning or moving (vertigo)
• A change in taste perception or loss of taste
• Dry mouth and eyes

When to see a doctor

Call your doctor if you experience facial paralysis or a shingles rash on your face. Treatment that starts within three days of the start of signs and symptoms may help prevent long-term complications.