Background: Lower motor neurone type facial nerve palsy is a common condition that is very rarely caused by a neoplastic lesion.
Case description: This case report describes a progressive facial palsy in a 62-year-old man because of a vascular tumor of the facial nerve. Histologic examination confirmed it to be a venous angioma.
Conclusion: Meticulous imaging of the facial nerve is required to diagnose cases of progressive facial nerve palsy caused by a neoplastic lesion.