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Facial paralysis was first described in a hypertensive patient by Moxon in 1869. Subsequently, there have been reports and severe hypertensive child. A 13-month-old boy was admitted because of right peripheral facial paralysis. Two months ago, transarterial embolization of his left renal aneurysm with coils was performed due to left renal dysplasia and renal artery aneurysm. On admision, his blood presure was 200/10 mmHg. He was treated conservatively with antihypertensive agents and his facial paralysis completely resolved during the next two months. One year later, he experienced facial paralysis again. nephrectomy, performed thre years later, there was no additional episode of facial paralysis during the next seven years. We report this case with a brief review of literatures. (Korean J Otolaryngol 2002;45:289-92)