{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:43:38Z","timestamp":1760150618599,"version":"build-2065373602"},"reference-count":42,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>(1) Background: COVID-19 infection has affected almost 6 million people worldwide. Geniculate Ganglion Zoster resulting in Ramsay Hunt Syndrome (RHS) has been rarely described in this context. (2) Methods: Here, a case of RHS in the context of asymptomatic COVID-19 infection is reported followed by a literature review of the previously published cases (PubMed research combining \u201cCOVID-19\u201d and \u201cRamsay Hunt Syndrome\u201d or their abbreviations\/synonyms, searching for data published at any time till October 2023). (3) Results: Five cases have been previously published (age range: 25\u201367 years; n = 3 males). Three patients were known to be immunocompetent prior to infection, one was receiving corticotherapy for lung disease, and one had an unspecified immune status. RHS predominantly involved both facial and vestibulocochlear nerves, with one case exclusively involving the facial nerve as the presented case. Regarding facial nerve palsy, three were right-sided (like the current report) and two were left-sided. Two cases were asymptomatic to COVID-19 (like the present patient), one had mild fatigue, and two had classical COVID-19 symptoms preceding RHS symptoms. Workup included serological testing against Varicella Zoster Virus and PCR assays that can detect the viral DNA in saliva, blood, tears, exudates, and cerebrospinal fluid. The treatment combined antiviral and corticosteroid therapies which yielded heterogeneous outcomes that might be related to some demographic and clinical data. (4) Conclusions: RHS rarely occurs in the context of COVID-19. Early recognition is important. Management seems to be similar to the classical condition. Some data may help predict facial nerve recovery.<\/jats:p>","DOI":"10.3390\/jcm12237407","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T12:01:00Z","timestamp":1701259260000},"page":"7407","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Ramsay Hunt Syndrome in Asymptomatic COVID-19 Infection: A Case Report and a Literature Review"],"prefix":"10.3390","volume":"12","author":[{"given":"Wissam Al Rida","family":"Ayoub","sequence":"first","affiliation":[{"name":"Lebanese American University Medical Center\u2014Rizk Hospital, Beirut 1100, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina","family":"Lizzeik","sequence":"additional","affiliation":[{"name":"Lebanese American University Medical Center\u2014Rizk Hospital, Beirut 1100, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana","family":"Berro","sequence":"additional","affiliation":[{"name":"Lebanese American University Medical Center\u2014Rizk Hospital, Beirut 1100, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sami","family":"Faddoul","sequence":"additional","affiliation":[{"name":"Doctors\u2019 Center Radiology and Laboratory, Beirut 1000, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8973-6772","authenticated-orcid":false,"given":"Mohamad","family":"El Dassouki","sequence":"additional","affiliation":[{"name":"Lebanese American University Medical Center\u2014Rizk Hospital, Beirut 1100, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Rahman","family":"Shatila","sequence":"additional","affiliation":[{"name":"Lebanese American University Medical Center\u2014Rizk Hospital, Beirut 1100, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0880-8608","authenticated-orcid":false,"given":"Moussa A.","family":"Chalah","sequence":"additional","affiliation":[{"name":"Department of Neurology, Gilbert and Rose-Marie Chagoury School of Medicine, Byblos 4504, Lebanon"},{"name":"Institut de la Colonne Vert\u00e9brale et des NeuroSciences (ICVNS), Centre M\u00e9dico-Chirurgical Bizet, 75116 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samar S.","family":"Ayache","sequence":"additional","affiliation":[{"name":"Department of Neurology, Gilbert and Rose-Marie Chagoury School of Medicine, Byblos 4504, Lebanon"},{"name":"Institut de la Colonne Vert\u00e9brale et des NeuroSciences (ICVNS), Centre M\u00e9dico-Chirurgical Bizet, 75116 Paris, France"},{"name":"EA4391 Excitabilit\u00e9 Nerveuse & Th\u00e9rapeutique, Universit\u00e9 Paris Est Cr\u00e9teil, 94010 Cr\u00e9teil, France"},{"name":"Department of Clinical Neurophysiology, DMU FIxIT, Henri Mondor University Hospital, Assistance Publique-H\u00f4pitaux de Paris (APHP), 94010 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1055\/s-0041-1735415","article-title":"Ramsay Hunt Syndrome: Viral Infection Coexisting with COVID-19","volume":"4","author":"Mehta","year":"2021","journal-title":"Ann. 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