Atypical Presentation of Ramsay Hunt Syndrome: A Case Report

Abstract

Background: This case emphasizes the atypical presentation of Ramsay Hunt syndrome (RHS), in which the rash was distributed over cervical dermatomes (C3, C4). Case Presentation: A 55-year-old Sudanese woman presented with left-side mouth deviation and difficulty in the closure of her right eye which happened two weeks after the appearance of a vesicular rash over the right side of her head, ear, down to the right side of her neck as well as submandibular area, and improved with treatment (acyclovir and prednisolone). Conclusion: Physicians should be aware of typical and atypical presentations of RHS to facilitate prompt diagnosis and provide appropriate management. Early intervention with antiviral and corticosteroids has been shown to significantly improve outcomes in these patients.