Ramsay Hunt Syndrome with Multiple Cranial Neuropathy and Meningitis: A Rare Presentation of Varicella Zoster Virus Infection

Ramsay Hunt Syndrome also called as herpes zoster oticus, is a rare complication of reactivation of varicella zoster infection in geniculate ganglion of facial nerve. It usually presents with painful vesicular eruption over pinna and external auditory meatus and lower motor neuron (LMN) type of facial palsy. However recently we came across a case of 51 years old female of Ramsay hunt syndrome with left sided 7th, 8th, 9th, 10th cranial neuropathy and VZV meningitis. This clinical presentation is rare to best of our knowledge. The patient was treated with acyclovir and oral steroids, and responded well.