Male patient presented to the emergency room with sudden decreased conscious level. Upon questioning his relatives, they stated that he has been taking mediation for right ear infection for the past 2 months.

Urgent contrast enhanced MRI was done, followed by urgent surgical intervention which confirmed the presence of multiple cerebellar abscesses and removal of about 20ml of pus was done.

This case is a good example of a rare but fatal complication of chronic otitis media, causing meningoencephalitis and subsequent abscess formation. Urgent diagnosis and intervention is crucial, to prevent disabling/fatal complications.