How does red ear syndrome differ from Ramsay Hunt syndrome?
Red ear syndrome belongs in the trigeminovascular headache syndrome family of disorders.
It is likened to sudden unilateral neuralgiform conjunctival injection and tearing (SUNCT).
There are recurrent attacks of ear pain and temporal headache. The autonomic phenomenon is the paroxysmal onset of redness of the ear, but typically there is no tearing or rhinorrhea.
The attack may last 15 seconds to 5 minutes, and there may be 20 to well over 100 attacks per day.
This rare condition does not have a robust list of treatments.
Anticonvulsants work modestly.
Corticosteroids or C2,3 facet injections provide relief.