Introduction: The Ramsey Hunt syndrome is characterized by the presence of vesicular rashes and ear pain associated with peripheral facial palsy, whose etiologic agent is the herpes zoster virus. It is more common in elderly and immunocompromised patients. The most commonly affected nerves are the facial (VII) and vestibulocochlear (VIII). In some cases it can affect the trigeminal (V), glossopharyngeal (IX), and vagus (X). Vestibular symptoms (or events), such as dizziness and tinnitus, can be reported.