A 7½-year-old girl presented for evaluation of a temporary facial paresis and ipsilateral sensorineural hearing loss. An acoustic neuroma was found and excised via a translabyrinthine approach. The postoperative period was uneventful, and the child continues to do well at 18 months follow-up. Facial nerve function, which began to recover at four months postoperative, is now 60% of normal. We are presently following this child carefully for evidence of contralateral neuroma.