Varicella-zoster infection with isolated cochleovestibular affectation (without facial palsy)

Otological complications of Ramsay Hunt syndrome include facial paralysis, tinnitus, hearing loss, vertigo, dysgeusia, and skin eruption. The lower cranial nerves sometimes are affected by this neuritis. A case is reported of a man without immune-system impairment who had a cranial mononeuritis with unilateral involment of the VIII and VII cranial nerves after infection with varicella-zoster without herpetic lesions.