Persistent hiccups as a rare presentation of Ramsey Hunt syndrome in a renal transplant recipient

Abstract

Ramsay Hunt syndrome type 2, also known as RHS and herpes zoster oticus, is a disorder that is caused by the reactivation of varicella zoster virus in the geniculate ganglion, a nerve cell bundle of the facial nerve. RHS typically presents with inability to move many facial muscles, pain in the ear, taste loss on the front of the tongue, dry eyes and mouth, and a vesicular rash. However, the association of RHS with multiple cranial nerve involvement and persistent hiccups is less well reported.