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Four developed corneal opacification, and one each developed optic neuritis, optic atrophy, uveitis, seventh cranial nerve palsy, and vertical nystagmus.
AN's proximity to the seventh cranial nerve also leaves patients vulnerable to permanent facial paralysis, making it impossible to smile, close one's eyes or activate any movement on the affected side of the face.
Classical Ramsay Hunt Syndrome can be associated with vesicular rash of the ear or mouth (as many as 80% of cases), the rash might precede the onset of facial paresis/ palsy (involvement of the seventh cranial nerve, ipsilateral lower motor neuron facial paresis/palsy, vertigo and ipsilateral hearing loss, tinnitus, otalgia, headaches, dysarthria, gait ataxia, fever, cervical adenopathy, facial weakness usually reaches maximum severity by 1 week after the onset of symptoms.