Glomus Jugulare tumours are relatively rare. In the early stages the symptoms may simulate other otological conditions such as acute otitis media. We report a case of a 34 year old male with Glomus Jugulare, where the diagnosis was initially missed and later made on development of classical symptoms. The management of this case and a brief review of literature is presented. The aim is to highlight the importance of early diagnosis and successful outcome following surgery.