Rare Case Report of Multiple Cranial Nerve Involvement in Ramsay Hunt Syndrome

Ramsay Hunt syndrome (also termed Hunt's Syndrome and herpes zoster oticus) is a herpes zoster virus infection of the geniculate ganglion of the facial nerve. It is caused by reactivation of herpes zoster virus that has previously caused chickenpox in the patient. Ramsay Hunt syndrome results in paralysis of the facial muscles on the same side of the face as the infection so, the virus infects the facial nerve that normally innervates the muscles of the face. Ramsay Hunt syndrome is typically associated with inflamed vesicles in or around the ear and sometimes on the roof of the mouth or tongue. Here we are presenting a case of 70 year old male had Ramsay Hunt syndrome with multiple cranial nerves' involvement (CN IX & X). Treatment with prednisolone and valacyclovir was given within the first three days of facial paralysis to the patient to achieve complete recovery.