Ramsay Hunt syndrome (RHS) is characterized by facial paralysis, inner ear dysfunction, periauricular pain, and herpetiform vesicles. The pathogenesis involves reactivation of the latent varicella zoster virus (VZV) in the geniculate ganglion of the facial nerve. This paper discusses a 5-year-9-month-old girl with a rare case of peripheral facial paralysis caused by RHS and reviews the literature.