Physical
The primary physical findings in classic Ramsay Hunt syndrome include peripheral facial nerve paresis with associated rash or herpetic blisters in the distribution of the nervus intermedius.[6]
The location of the accompanying rash varies from patient to patient, as does the area innervated by the nervus intermedius. It may include the following:
Anterior two thirds of the tongue
Soft palate
External auditory canal
Pinna
The patient may have associated ipsilateral hearing loss and balance problems.
A thorough physical examination must be performed, including neuro-otologic and audiometric assessment.