Spontaneous haemorrhage in association with a brain abscess is a very
rare occurrence and may confuse the CT diagnosis. A case of cerebral a
bscess with haemorrhage into the abscess cavity, the surrounding brain
parenchyma, the subarachnoid space and the ventricular system is repo
rted. The differential diagnosis, pathogenesis and the management of s
uch a case are discussed and the literature reviewed.