Difference Between Ramsay Hunt Syndrome and Bell's Palsy

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Difference Between Ramsay Hunt Syndrome and Bell's Palsy

Ramsay Hunt syndrome and Bell's palsy at first glance have similar symptoms. Both of them make one side of the face paralyzed. However, these two diseases are actually different, you know.

Ramsay Hunt syndrome (Ramsay Hunt syndrome) or also known as herpes zoster oticus is a disease caused by the reactivation of the Varicella Zoster virus. Varicella Zoster virus is the virus that causes chickenpox and herpes zoster.

Meanwhile, Bell's palsy is a weakness or paralysis of the muscles on one side of the face for which the exact cause is not known, but is often associated with certain viral infections, including Adenovirus, Epstein Barr, to Mumps Virus.

Difference Between Ramsay Hunt Syndrome and Bell's Palsy

At first glance, Ramsay Hunt syndrome and Bell's palsy do have similar symptoms. However, if you look at it in more detail, there are several differences between these two conditions, namely:

Differences based on symptoms

Although the symptoms are similar to paralysis on one side of the face, Ramsay Hunt syndrome is generally accompanied by a red rash or blisters filled with fluid on one side of the ear area.

In addition, Ramsay Hunt syndrome can also be accompanied by ear pain, ringing in the ears, vertigo, or other hearing loss.

Whereas in Bell's palsy, muscle weakness on one side of the face will not be accompanied by the appearance of a red rash or blisters. Paralysis of one side of the face will occur suddenly and will generally worsen within 48 hours of the initial symptoms appearing.
In addition, people with Bell's palsy can also feel pain on one side of the face or head.

Differences based on cause

Ramsay Hunt syndrome is caused by an active Varicella zoster virus. When infected with this virus, in some people, although the symptoms have recovered, the virus has not completely disappeared. When the virus reactivates and infects nerves in the face and ears, Ramsay Hunt syndrome will appear.

The risk of activation of this virus will increase with age, especially at the age of 60 years and over, and when the immune system is weak or compromised, for example due to undergoing chemotherapy or prolonged stress that is not handled properly.

Unlike the case with Bell's palsy, this condition has no known exact cause. However, several diseases and conditions, such as autoimmune, diabetes, high blood pressure, injuries involving the face, Guillain Barre syndrome, myasthenia gravis, to herpes simplex infection, are often associated with the appearance of Bell's palsy.

According to available data, muscle paralysis due to Ramsay Hunt syndrome is more severe than Bell's palsy. If treated too late, the chances of recovery will be smaller.

However, if the treatment is carried out immediately, a maximum of 3 days after symptoms appear and there is not much damage to the nerves, Ramsay Hunt syndrome can recover completely with medication for several months.

If you experience symptoms that point to Ramsay Hunt syndrome or Bell's palsy, don't delay to see a doctor so that the cause can be ascertained and given proper treatment.

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