262 Table 1 summarizes the differentiating features of our case and these two conditions. Classically Bell’s palsy has been defined as idiopathic and the cause of the inflammatory process in the facial nerve remains uncertain. Recently attention has focused on infection with herpes simplex virus type 1 (HSV-1) as a possible cause because research has found elevated HSV-1 titers in affected pati...

Ramsay Hunt syndrome (RHS) is a complication of latent varicella-zoster virus infection, and considered as form herpes zoster (HZ) occurring in the otic region. Although skin lesions HZ usually appear along only one or two dermatomes, it occasionally disseminated patients with decreased immunity. Here we report rare case RHS developing an immunocompetent young adult. A 16-year-old healthy man c...

Abstract Case Presentation A 61-year-old gentleman with chronic lymphocytic leukaemia presented right sided disseminated vesicles, otalgia, hearing loss, facial weakness, dysphagia, hoarseness, breathlessness, and stridor. In the preceding 48 hours he had two A&E presentations only throat tightness mild breathlessness. Cranial nerve (CN) examination demonstrated cheek numbness absent jaw je...