INTRODUCTION: The dolichoectasia consists of the presence of allonge, dilatation and tortuosity more frequent found in the vertebral and fundamental arteries. Its incidence varies between 0,06% and 5.8% of the population. We present the case of a patient without co-morbid with sudden attacking of multiple cranial pairs (VII, VIII, IX, X and XI), of gradual and cumulative form in a period of thirty days, having as only alteration of image the presence of dolichoectasia of left vertebral artery. OBJECTIVE: Patient with 55 years, healthy, presenting dysphonia with seven days of evolution carried through videolaryngoscopy that evidenced paralysis of vocal fold the left. Peripheral ipsilateral after evolved one week with otalgia the followed left of face paralysis degree V. Computerized Tomography and Magnetic Nuclear Resonance of skull had been carried through both without alterations, opting themselves to the beginning of corticotherapy in immunosuppressant dose and systemic antiviral. In validity of this treatment the patient presented paralysis of the IX, X and XI cranial pairs and audiometry with diagnosis of moderate sensorineural hearing loss also to the left. Indicated hospital internment being requested angioresonance of skull that evidenced the presence of dolichoectasia of the left vertebral artery. The patient did not present new focal deficits and the case follows in accompaniment with the services of otolaryngology and neurosurgery. Story of the case: Patient without co-morbity with sudden paralysis of multiple cranial pairs that had been associated only the dolichoectasia of the left vertebral artery. It remains in clinical accompaniment with possible elective surgical intervention evolutive worse.