Introduction: Ramsay Hunt syndrome (herpes zoster oticus) is caused by the reactivation of the varicella zoster virus, in the form of otic zoster, associated with ipsilateral peripheral facial paralysis. The initial symptoms may be nonspecific, which hinders diagnosis and treatment. Case report: A 68-year-old female patient with a Personal Pathological History of Type 2 Diabetes Mellitus that began with inflammation in the left lateral region of the neck, intense headache and pain behind the auricle that persists for days. Later, dermatological lesions appeared in this region, numbness and paleness of the tongue, As well as deviation of the corner of the mouth to the right with inability to close the left eye. Therefore, it was decided to admit him for further study and treatment.Conclusions: Although Ramsay Hunt Syndrome is not a health problem, its early diagnosis is a crucial factor to avoid long-term sequelae, anticipate a favorable prognosis and provide a better quality of life to the patient
