Complications of chronic suppurative otitis media (CSOM) can include both intracranial and extracranial complications. Intracranial complications include meningitis, lateral sinus thrombosis, brain abscess, otitic hydrocephalus, and extradural/subdural abscesses. Extracranial complications involve spread of infection to nearby structures like the mastoid bone, petrous bone, facial nerve, and labyrinth. Prompt diagnosis and treatment of complications is important to prevent morbidity.