Ten cases of otogenic brain abscess were treated at the E.N. T. Dept. of Liaquat Medical College, Hyderabad (West Pakistan) during the four years 1950-1961. Each case is summarised. Out of these, six were of cerebellar and four of temporo-sphenoidal lobe abscess. All were aspirated and drained through mastoid. The advantages of this method are briefly cited. Only one case out of the series was fatal.