Abstract
A case of a 70-year-old man with a brain abscess in the left temporal lobe caused by ipsilateral chronic otitis media with cholesteatoma is reported. To date, management of otogenic brain abscess have been controversial. After controlling the intracranial lesion with preliminary antibiotic therapy and drainage, the remaining cholesteatoma was successfully treated with radical mastoidectomy. The ease and accuracy of evaluation of intracranial lesions by computerized tomography scanners and the use of multiple antimicrobials with increased spectrum decreased the need for therapeutic surgical intervention for otogenic brain abscesses.
