The symptoms of Ramsay Hunt Syndrome vary from case to case and may, but not always, include:

Unilateral Facial Paralysis

A 'drooping' of the face on the affected side.

An inability to close the affected eye, smile, wrinkle the forehead and whistle.

Tearing or dryness occurs because the eye does not close completely.

Speech may be mildly slurred.

It is important to note that sensory function (feeling) is unaffected by RHS facial paralysis; only motor function (movement) is affected. For example, an ice cube should still feel cold when held against the affected side. If sensory function is affected please notify your doctor immediately.

Speech Impairment

Speech may be mildly slurred.

Unilateral neuralgia

Severe pain on the affected side around the head, ear, or neck.

Increased / Decreased Lacrimation

Tearing or dryness can occur because the eye does not close completely.

Unilateral Dysgeusia

Loss of taste on the anterior 2/3 of the tongue or unusual tastes, such as metallic or salty.

Xerostomia

Dryness in the mouth.

Hyperacusis

Sounds may appear louder on the affected side. This may be caused by paralysis of the stapedius muscle but also occurs independently.

Papillitis

Inflammation of the fungifom papillae at the back of the tongue may be seen on the affected side.

Shingles Vesicles / Rash

A painful herpes type skin eruptionin the ear canal or on the pinna of the ear. Also may appear as small, painful blisters in the mouth or throat.

Hearing loss

Hearing loss or distortion on the affected side.

Tinnitis

Noises in the affected ear.

Vertigo

Room spinning dizziness.

Disequilibrium

Dizziness when standing or walking. Inability to walk a straight line.