Ramsay Hunt syndrome with cranial polyneuropathy

Abstract

Unilateral facial nerve palsy and vestibulocochlear neuropathy due to herpes zoster are named Ramsay Hunt syndrome (RHS). Rarely, this infection may affect multiple cranial nerves concurrently. Through this report, we are describing a case of RHS, where the VII, VIII, IX, and X cranial nerves were involved simultaneously. This 65-year-old man presented with right lower motor neuron facial nerve palsy, hoarseness, dysphagia, hearing deficit, and vertigo following painful vesicular eruptions on his right ear. Systemic corticosteroids and antiviral agents were administered, subsequent to which the patient improved with the resolution of all the symptoms and signs.