Ramsay Hunt syndrome (RHS) complicated with encephalitis is rare, and the appearance of hemi-motosensory deficit in RHS is even rarer. We reported two such cases. Both patients had a peripheral type facial palsy, facial numbness and zoster in the ipsilateral ear canal. The consciousness was clear and cognitive function was normal. The functional deficits of extremities were ipsilateral to the facial palsy in one case, but contralateral in the other. Magnetic resonance imaging of the brain in both cases showed no abnormality. The manifestations were compared with two more cases from the literature.