Cerebellar abscess is a serious complication of ear disease that requires early diagnosis and treatment. Computerized axial tomography with contrast enhancement is very useful for the diagnosis of these abscesses. This fact is illustrated by a case report of a cerebellar abscess secondary to chronic otitis media with cholesteatoma detected in one of our patients. On examination otorrhoea, fever, headache, vomiting and had hemilateral conductive hearing loss. The therapy included radical operation, excision of the abscess and antibiotic therapy.