&NA;Aspergillusspecies are second only toCryptococcus neoformansas the most common cause of fungal infections of the central nervous system in immunocompromised patients. Survival following treatment ofAspergillusbrain abscess has been reported only 4 times. In each case, craniotomy was performed for abscess drainage. We present a case of long‐term survival following stereotactic drainage of a bilateralAspergillusbrain abscess. In all reported cases, including the present one, histological examination of the abscess contents established the correct diagnosis. Amphotericin B was used in combination with operation in 4 of the 5 cases of long‐term survival. (Neurosurgery24:96‐99, 1989)