A Case of Ramsay Hunt Syndrome Involving Multiple Cranial Nerves and Delayed Onset Facial Palsy

Ramsay Hunt syndrome is a disease in which reactivation of latent varicella zoster virus infection occurs in the geniculate ganglion, causing otalgia, auricular vesicles and peripheral facial paralysis. Rarely also other cranial nerves can be affected and the variability in the timing or presence of neurological complications in varicella zoster virus reactivation has been known clinically. We report the case of a 71-year-old female who was diagnosed with Ramsay Hunt syndrome complicated with cranial nerve VIII, IX, X and delayed onset facial palsy with a review of literature. (J Clinical Otolaryngol 2015;26:81-86)