
In the post-antibiotic era intracranial and extra-cranial complications of middle ear infections have become rare. Similarly, Cerebral Venous Sinus Thrombosis (CVST) which was a frequent complication of middle ear infections has become rare now. Here we present a case of a 27-year male who presented with a short history of severe headache and associated episodes of unretract able vomiting. The patient did not improve clinically even after prompt symptomatic management following which a Contrast Enhanced Magnetic Resonance Imaging (CEMRI) of head along with Contrast Enhanced Magnetic Resonance Venogram (CEMRV) was done which was showing right sided Otomastoiditis complicated with CVST and meningitis.