Coexistence of Atypical Ramsay Hunt Syndrome and Varicella-Zoster Virus Encephalitis

Dear Editor, Varicella-zoster virus (VZV) is a DNA virus transmitted via droplets. It lies latent in neurons and causes zona zoster, central nervous system infections or Ramsey Hunt syndrome (RHS) by reactivation (1). Classic RHS is characterized by herpes zoster oticus and unilateral facial paralysis (2,3,4). Rarely, V., VI., IX., X., XI. and XIIth cranial nerve palsies have been reported in the literature (1).