Atypical Presentation of Ramsay Hunt Syndrome without Facial Palsy in an Immunocompetent Senegalese Adulte Patient

First described in 1907 by James Ramsay Hunt, Hunt syndrome is a recurrence (reactivation) of varicella-zoster virus (VZV) affecting the geniculate ganglion, secondary to decrease cell-mediated immunity. The strict definition peripheral facial nerve palsy accompanied erythematous vesicular rash on ear. We report 57-year-old female immunocompetent patient complaining otalgia, small vesicles Ramsey Zone. She does not complain fever, hearing loss, nausea, vomiting or dizziness. There was no palsy, reduction taste sensation, ataxia nystagmus, Romberg sign negative. Our targets two three criteria needed for diagnosis syndrome. began take Acyclovir-Steroid (AS) therapy very early with good outcome. This suggests that prompt and management improve outcome prevent occurrence