Cerebellar abscess of otogenic origin is the consequence of an untreated or insufficiently treated ear infection. Currently we are observing a decrease in incidence and a good evolution is thanks to progress in imaging but also new generations of antibiotics. However, complications are rare but serious. We report the case of a 60-year-old female patient, a housewife with a history of chronic otitis media. Over a period of 19 days, she presented with ear pain, swelling and purulent discharge from the left ear, associated with left cerebellar syndrome and intracranial hypertension syndrome. The brain scan without and with contrast product injection revealed a rounded image and triventricular hydrocephalus. Pus culture was negative. We observed an improvement in the signs after antibiotic therapy followed by drainage of the abscesses.
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