A case of peripheral facial palsy revealing a recent HIV infection is reported. Facial paralysis is frequent in HIV patients. Its etiology depends on the stage of the disease. At all stages, Bell's palsy is the most important cause and can reveal the seropositivity. Among the other HIV otoneurological manifestations, hearing loss is frequent and of multiple origins. It is associated with early abnormal auditory brainstem responses. Vestibular dysfunction in HIV infection mostly concerns advanced stages of the disease even though early pathologic electrophysiologic findings are noted.