UNLABELLED: The recrudescence of Varicella Zoster Virus in the head and neck region often manifests as Ramsay Hunt Syndrome, characterised by facial nerve palsy, vesicular rash in the distribution of facial nerve and neuralgia. Rarely it causes cranial polyneuropathy (CP). We present a case of herpes zoster with CP, highlighting the diagnostic challenges and management in a resource-limited setting. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12070-024-05211-8.