Does facial palsy always present with ramsay hunt syndrome, i have all other symptoms, only pain is to the back of my head and neck.blisters in ear etc?

RHS : Facial paralys can present few days before or after onset of other symptoms in rhs. Acute facial paralysis is the hallmark of rhs, but the syndrome as described by dr. Hunt can have varying presentation, making the history and physical examination the most important tool. Other nerves in close proximity to the facial nerve can be affected by vzv. Focus is on differential diagnosis and treatment.