Symptoms of Ramasy Hunt syndrome include vesicular rash of the ear or mouth, onset of facial paresis/palsy, ipsilateral lower motor neuron facial paresis/palsy, vertigo and hearing loss, tinnitus, otalgia, headaches, dysarthria, ataxia, fever and cervical adenopathy. Delay of treatment may result in permanent facial nerve paralysis. It is trreated using corticosteroids and oral antiviral drugs, although the benefit of antiviral medications is uncertain. Immunization against Varicella zoster may help in preventing relapse of the disease. The hearing loss is generally irreversible.