Background: Brain abscess is a neurosurgical emergency. It has to be evacuated without any delay. Though these patients may have congenital heart diseases with ASD and VSD, presence of situs inversus and dextrocardia are relatively uncommon in neurosurgical practice.
Objective: The aim was to present the case with multiple episodes of convulsions and gradual deterioration of consciousness without history of fever.
Methods: The case was carefully evaluated with taking history and examining the patient. Diagnosis was confirmed with a MRI of the brain. It had shown a large ring enhancing lesion in the left temporal lobe which was diagnosed as brain abscess.