Otitic hydrocephalus is characterized by elevated intracranial pressure without focal neurologic abnormalities. The pathogenesis of otitic hydrocephalus remains unclear, but it usually occurs secondary to lateral sinus thrombosis. With the advent of new antibiotics, there has been a spectacular decrease in the complications of otitis media. Otogenic intracranial hypertension, always an uncommon condition, is seen only very rarely nowadays. Here we present a case of otitic hydrocephalus and discuss about its pathophysiology, clinical findings, and treatment.