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BACKGROUND Facial nerve schwannoma of the internal auditory canal is a very rare tumour. OBJECTIVE While Bell's palsy is the commonest cause of a facial paresis, more serious causes should be excluded if recovery is delayed. METHODS A case report of a young man who presented with a long standing facial palsy. CONCLUSIONS Any facial palsy that does not show evidence of recovery within six weeks should be investigated radiologically to exclude a tumour.
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