Skip to content
knowrare
HealthSignal
Your condition community

Living with Geniculate herpes zoster

Also called Ramsay Hunt syndrome: shingles that spreads to facial nerves, causing ear pain, rash, and weakness of the face.

Understanding Geniculate herpes zoster

Geniculate herpes zoster, also called Ramsay Hunt syndrome, is a complication of shingles that affects the facial nerves.

Shingles happens in people who have had chickenpox, when the varicella-zoster virus becomes active again. In Ramsay Hunt syndrome the virus spreads to facial nerves. It can occur at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Intense ear pain
  • Rash around the ear, mouth, face, neck, and scalp
  • Weakness or paralysis of the face
  • Hearing loss or ringing in the ears (tinnitus)
  • Vertigo (feeling that the room is spinning)
  • Loss of taste, and dry mouth and eyes

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Facial Pain Association and The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists)
Expert care
Expert lists: Facial Pain Association, The Foundation for Peripheral Neuropathy
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Facial Pain Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which treatments are best to start soon after symptoms begin?
How likely is facial weakness or hearing loss to improve?
Should I see an ear specialist or a neurologist?

Quick facts

Symptoms usually startany time in life

It is caused by the varicella-zoster virus, the same virus that causes chickenpox, spreading to the facial nerves after the virus becomes active again.

InfectiousNeurological

Also known as: facial nerve palsy due to herpes zoster infection; facial nerve palsy due to vzv; facial nerve paralysis due to vzv; geniculate herpes zoster infection; geniculate neuralgia; herpes zoster auricularis

Patient organizations

Source: NIH GARD · Geniculate herpes zosterGARD ID 7525 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Geniculate herpes zoster.

Explore the Geniculate herpes zoster blog

Explore research for Geniculate herpes zoster

Explore actively recruiting Geniculate herpes zoster studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Geniculate herpes zoster with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Geniculate herpes zoster studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Geniculate herpes zoster

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Geniculate herpes zoster

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Geniculate herpes zoster experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.