Favorable Outcome of Ramsay Hunt Syndrome under Dexamethasone

Table 1

Time course of the development and resolution of symptoms and signs and duration of treatment.

Time course	Symptoms/signs	Drug treatment
Day 1	Pain of left pinna	None
Day 3	Sore/reddish pinna, chondritis diagnosed; Exposure to a ventilator for >1 h	Amoxicillin/clavulanic acid
Day 4 (onset)	Left peripheral facial palsy	Dexamethasone, acyclovir
Day 7	Improvement of lid closure, pinna rash ↓	Dexamethasone, acyclovir
Day 10	Complete lid closure, neuralgia left ear	Dexamethasone, acyclovir, gabapentine
Day 11	Complete lid closure	Dexamethasone, acyclovir stopped
Day 12	Complete lid closure	Starting valacyclovir
Day 15	Slight voluntary contraction of forehead and left mouth corner	Valacyclovir
Day 18	Further improvement of the palsy	Valacyclovir stopped
Day 47	Palsy visible only with mimic contraction	None
Day 85	Complete recovery	None