Abstract
Ramsay hunt syndrome (RHS) is characterised by herpetic blisters (small vesicles) of the skin of the external canal, pinna and/or the oral mucosa and severe otalgia (ear pain) along with acute peripheral facial paralysis and/or vestibulocochlear dysfunction (e.g., vertigo, hearing loss, hyperacusis, tinnitus). RHS with multiple cranial neuropathies is rare, more severe, and usually intractable. A combination therapy of antiviral agents and steroids is the preferred treatment. We present a case of 30-year-old man suffering from RHS with multiple cranial neuropathies treated effectively with combination therapy of intravenous pulse steroid therapy and newer antiviral agent for intractable hiccoughs and laryngeal palsy.