Case summary This report describes the appearance of facial nerve paralysis in a 16-year-old hypertensive cat. MRI was helpful in visualising and characterising mesencephalic and facial nerve lesions thought to be induced by hypertension. Neurological signs rapidly resolved under antihypertensive therapy. https://www.bekindtopets.com/limited-stock-Bovi-Shield-Gold-FP-5-L5-HB-best-super/