Collet-Sicard syndrome is one of the syndromes of the multiple lower cranial nerve palsies, characterized by unilateral paralysis of 9th through 12th cranial nerves. Meningioma has rarely been reported as a cause of Collet-Sicard syndrome. This case was a 34-year-old man who had dysphagia, loss of taste, and dysarthria. Brain MRI showed a mass in the left cerebellopontine angle. Videofluoroscopic swallowing study revealed severe dysphagia during pharyngeal phase and cricopharyngeal dysfunction. Laryngoscopy revealed left vocal cord palsy, and eletrodiagnostic study showed paralysis of the left IX, X, XI and XII cranial nerves. (J Korean Acad Rehab Med 2006; 30: 402-405)