An account is given of a patient with chronic ear infection who presented with cerebrospinal fluid otorrhea. After the otorrhea had persisted for some 8 years in this individual, purulent meningitis developed. The causal craniootic fistula was subsequently identified during an exploration of his middle cranial fossa and was repaired (13-month follow-up) with a fascia lata graft. After a study of the literature, it is suggested that this case is a singular example of prolonged cerebrospinal fluid otorrhea resulting from chronic infection of the ear.