For Ramsay Hunt syndrome, which associated sign can occur in some patients?

For Ramsay Hunt syndrome, which associated sign can occur in some patients?

• A. Nystagmus
• B. Photophobia
• C. Lacrimation on the affected side
• D. Keratoconjunctivitis

Answer: (C)

Ramsay Hunt syndrome involves the facial nerve as well as nearby structures, and the facial nerve carries parasympathetic fibers that go to the lacrimal gland. Because of this, tear production on the affected side can vary and, in some patients, tearing may be observed there. This reflects the variable involvement of the autonomic pathways supplying the eye in this syndrome. Other signs like nystagmus point to vestibular (VIII) involvement, while photophobia and keratoconjunctivitis relate more to eye surface irritation or exposure in the setting of facial palsy rather than a direct lacrimal response.

Ramsay Hunt syndrome involves the facial nerve as well as nearby structures, and the facial nerve carries parasympathetic fibers that go to the lacrimal gland. Because of this, tear production on the affected side can vary and, in some patients, tearing may be observed there. This reflects the variable involvement of the autonomic pathways supplying the eye in this syndrome. Other signs like nystagmus point to vestibular (VIII) involvement, while photophobia and keratoconjunctivitis relate more to eye surface irritation or exposure in the setting of facial palsy rather than a direct lacrimal response.