RAMSAY HUNT SYNDROME: A CASE REPORT

Ramsay Hunt Syndrome (RHS) is a rare disease caused by reactivation of latent Varicella Zoster Virus in the geniculate ganglion which lead to inflammation, edema, and compression facial nerve. RHS may affect both immunocompetent immunocompromised patient. Clinical manifestation include herpes zoster oticus that manifest as vesicular rash on auricular area or oral mucosa combination with peripheral nerve palsy. We reported 67-years-old female patient herpetic vesicle left side face ear accompanied ipsilateral paralysis since 2 days before admission. Patient was treated acyclovir for 5 days. Follow up examination showed satisfying clinical improvement disappearance vesicles otalgia, well weakness from House Brackmann grade III II. Early recognition treatment crucial delay sequelae, including postherpetic neuralgia permanent paralysis.