Ramsay Hunt syndrome, associated with herpes zoster virus infection, typically involves facial nerve with vesicular lesions on the ear unilaterally. Frequently, the disease involves the VIII cranial nerve but rarely the III, IV, V, VI, IX, X, XI and XII cranial nerve, causing extraocular movement limitation, facial hypoesthesia, hoarseness, dysphagia, tongue movement limitation and neck weakness. Cranial neuropathies might be secondary to vasculopathy of arteries supplying the cranial nerves.

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... re, we report a case of Ramsay Hunt syndrome with multiple cranial nerve palsies and a brain stem lesion.