Abstract

A 37-year-old man with left cervical tenderness was found to have chronic otitis media and extensive thrombophlebitis of the left transverse and sigmoid sinus by computed tomography(CT) and angiography. Because there was no improvement in symptoms in spite of medical treatment, the thrombi of the left internal jugular vein, which were found later, were removed by surgical procedure. Ten days after the initial operation, the patient suffered from severe headache in his occipital area, and accompanied by fever, dizziness, nausea and spontaneous nystagmus. The brain magnetic resonance images revealed the cerebellar abscess on the left side. After CT-guided stereotaxic aspiration of the brain abscess, headaches disappeared imme- diately. There has been no sign of any recurrence with headaches until 7 months after the aspiration of the abscess.