A Case of Varicella-Zoster Meningoencephalitis Presented by Ramsay Hunt Syndrome

  • Botros Shenoda
  • Ifeanyichukwu Anthony Onwe
  • Tanvisha Mody
  • Briana Ply
  • Kathleen Degen
  • Jason Wilmoth
  • William Ford
  • Todd BraunEmail author
  • Wajahat HumayunEmail author
Clinical Report


Varicella-zoster virus (VZV) reactivation can cause meningoencephalitis. Ramsay Hunt syndrome is the reactivation of VZV in facial nerve, consisting of ear pain, facial nerve paralysis, and auricular rash. We present a case of VZV meningoencephalitis presented with Ramsay Hunt syndrome. Early clinical suspicion was beneficial in starting aggressive treatment.


Varicella-zoster virus Ramsay Hunt syndrome Meningoencephalitis Facial nerve paralysis 


Compliance with Ethical Standards

Conflict of interest

The authors have no conflicts of interest to declare.

Ethical Approval

This article does not contain any studies with animals performed by any of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from the individual participants included in the study.


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Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  1. 1.Department of Internal MedicineDrexel University College of MedicinePhiladelphiaUSA
  2. 2.Department of OtolaryngologyAbington Jefferson HospitalAbingtonUSA
  3. 3.Internal MedicineAbington Jefferson HospitalAbingtonUSA
  4. 4.Division of Infectious DiseaseAbington Jefferson HospitalAbingtonUSA

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