Peripheral facial nerve paralysis is a common clinieal entity, which resulted from facial nuclei or fascicle injured.Rare cases reported peripheral facial nerve paralysis with excess cranial nerve involved which makes diagnosis more complicated.We herein present a case of 74-year-old male demonstrating peripheral facial paralysis with serious vertigo, deafness, tinnitus and Dysphagia.Cerebrospinal fluid study, imaging study and otolaryngological test revealed nothing remarkable.Our patient was discharged with no mild vertigo, Dysphagia and right facial droop 17-days later, and a working diagnosis of polyneuritis cranialis was made at this time.A literature review of 154 cases with peripheral facial paralysis is also provided.Such cases also have impairment of Ⅲ, Ⅷ, Ⅸ, Ⅹ cranial nerves more or less.After rate calculating, an interesting relationship between the excess nerves involved and the lesion was present.