# Ramsay Hunt Syndrome: A Rare Complication of Herpes Zoster Infection With an Incidental Finding of Submandibular Hemangioma

## TL;DR

This paper presents a case of Ramsay Hunt Syndrome, a rare complication of herpes zoster, and highlights the importance of early diagnosis and treatment.

## Contribution

The paper reports a rare case with an incidental finding of submandibular hemangioma.

## Key findings

- A 73-year-old female presented with symptoms consistent with Ramsay Hunt Syndrome.
- The patient showed facial paralysis, swelling, and ulceration on the left side.
- Treatment with corticosteroids and antivirals was administered for seven days.

## Abstract

Ramsay Hunt syndrome is a rare viral condition that develops from the varicella zoster virus that affects the face's geniculate ganglion. It has been defined by a herpes zoster oticus, which can be associated with further cranial nerve lesions and acute peripheral facial nerve palsies. In this case, we present a 73-year-old female patient who presented to the outpatient department (OPD) with unbearable pain in the lower left cheek that she had been experiencing for the last four days. The reported pain was continuous and could be described as deep-aching and burning. Facial swelling was observed in relation to the lower lip, especially in the vermillion area; there was ulceration, paralysis seen on the left face, and swelling on the submandibular region. Intravenous corticosteroids and antiviral drugs were administered to her for seven days as an association therapy. In this report, the authors want to stress the necessity of using adequate clinical examination and early intervention in the case of the Ramsay Hunt syndrome.