Abducens Nerve Palsy Associated with Ramsay-Hunt Syndrome

Ramsay-Hunt syndrome is an infectious disease caused by the varicella zoster virus.It is usually associated with facial and vestibulocochlear nerve palsy, but other cranial nerve dysfunction can be accompanied.We present a 68-year-old woman with abducens nerve palsy associated with Ramsay-Hunt syndrome.She showed abduction limitation of left eye with peripheral facial palsy and vestibulopathy of the left side.Varicella zoster virus polymerase chain reaction of cerebrospinal fluid was positive and internal auditory canal magnetic resonance imaging was revealed enhancement of labyrinthine segment of left facial nerve.Although abducens nerve palsy is uncommon feature of Ramsay-Hunt syndrome, but it can be developed by several different mechanisms.