AbstractHerpes zoster virus (HZV) infection of the central and peripheral nervous systems can be of serious consequences. Most of the time it affects the respective dermatomes of the dorsal root ganglia without further invasion. But in some cases it progresses to invade one or multiple cranial nerves in their motor (VI, VII) and /or sensory (V¹²³, VIII) distribution. The geniculate ganglion of the facial nerve (VII) as well as the trigeminal ganglion (V) are particularly vulnerable. Rarely there may be a segmental radiculopathy, or myelopathy, too. We present here a patient who presented with herpes zoster eruptions over face and neck unilaterally with ipsilateral VIIth. cranial nerve (facial) LMN palsy, collectively known as Ramsay Hunt syndrome. He was treated conservatively without using corticosteroid and recovered within few weeks,without any residual neurological deficit.