Otogenic brain abscesses are one of the most severe complications of the suppurative otitis media. Although extensive use of antibiotics has significantly reduced the mortality and morbidity of otogenic brain abscesses over the past years, there are still substantial patient deaths due to cerebral hernia or brain abscess rupture. In these lethal cases, proper time and means to drain the abscess are very important for good outcomes. Herein, we describe the successful management of a young male patient with otogenic brain abscess and cerebral hernia using transmastoid middle skull base craniectomy and ultrasound-guided abscess aspiration.
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