Fourteen cases of otogenic brain abscess operated at the department of otolaryngology and neurosurgery from Feb. 1978 to Nov. 1985 were studied in clinical view point. Most of the cases were under 30 years of age(78.6%). Underlying middle ear pathology showed cholesteatomatous otitis media(9 cases) and non-cholesteatomatous otitis media(5 cases). The sites of predilection for brain abscess were temporal lobe(6 cases) and cerebellum(7 cases). Headache was by far the most frequent symptom, spinal tapping revealed increased intracranial pressure and leukocytosis. On bacteriologic test, Proteus, Pseudomonas, anaerobes and Aspergillus were cultured in order of frequency. Mortality rate was 14% and postoperative neurologic deficit was present in 25%.