Symptoms 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. Ramsay Hunt Syndrome is commonly treated using Corticosteroids and oral antiviral drugs. Steroids (such as prednisone) are usually prescribed for 5-7 days. Antivirals such as acyclovir or valacyclovir, can be given for 7-10 days, although the benefit of antiviral medications is uncertain. Delay of treatment may result in permanent facial nerve paralysis.