AMARILLO, Texas (KAMR/KCIT) — It’s not a well-known condition until recently, when singer Justin Bieber came out to say he had Ramsay Hunt syndrome.

According to the Mayo Clinic this is when a shingles outbreak affects the facial nerve near one of your ears and can cause facial paralysis and hearing loss.

Dr. Graves with AOMS explains what is happening when someone has this syndrome.