What are the classic symptoms of Ramsay Hunt syndrome?

Ramsay Hunt syndrome is a neurological condition caused by the reactivation of the varicella-zoster virus, the same virus responsible for chickenpox and shingles. The classic symptoms associated with this syndrome include ear pain, the presence of vesicular lesions in the external auditory canal (often described as herpetic vesicles), and facial paralysis.

The ear pain results from the viral infection affecting the geniculate ganglion, leading to sensory disturbances in the ear. The vesicles in the external auditory canal are a hallmark sign of the herpes zoster infection that has localized to the ear region. Facial paralysis occurs due to the involvement of the facial nerve, which may be compromised as the virus affects the structures around it.

In contrast, the other options do not align with the defining features of Ramsay Hunt syndrome. Symptoms such as fever, sore throat, and fatigue are more indicative of viral infections like influenza. Visual disturbances, slurred speech, and weakness point towards neurological events such as strokes or other CNS disorders. Jaundice, abdominal pain, and pruritus are symptoms typically related to liver dysfunction or biliary issues. Therefore, the symptoms described in the chosen answer truly encapsulate the essence of Ramsay Hunt syndrome.