Suggest management for Ramsay Hunt syndrome
Patient: My husband who is 34 years old and 178 lbs, and 5 11 was just informed he has Ramsay Hunt syndrome. We do not how what type he has and are on an antiviral medication. He has been told 4 other times it was Bells Palsy but it was not. He also has headaches, and many other symptoms such as insomnia, headaches, ear aches, etc.. We have done MRI s, CT Scans, and tons of blood work to come up with this solution but are still very confused on whats next. The neurologist, ENT, and general doctor are not fimilar with this syndrome. What do we need to do next? They have told us he has an infection in his sinuses behind the skull, but do not want to do a simple surgery on drilling that out is they way it was described to us. We have no clue why and what we need to do to be proactive. We really would like to prevent Type 1 if it s not to late. Please tell us what we need to do next. It s very difficult listening to so many doctors and not being proactive to help with all these symptoms. Doctor: Hi,  First of all,To treat Ramsay Hunt syndrome,you should take acyclovir 800 mg five times per day for 7 days and prednisolone 20 mg three times per day after meals for 5 days,then you should decrease the dose of prednisolone by 15 mg every 4 days to stop it.Second,you should do some investigations such as:CBC and fasting blood sugar. The surgical operation may not help you. Other infections can be treated with antibiotic.  Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Mustafa, Neurologist