CT-guided Stereotactic Aspiration and Treatment of Brain Abscesses. An Experience with 24 Cases

Overview

Journal Acta Neurochir (Wien)

Specialty Neurosurgery

Date 1993 Jan 1

PMID 8122558

Citations 4

Authors

M G Hasdemir

U Ebeling

Affiliations

Soon will be listed here.

Abstract

The present study reports our experience with stereotactic puncture, aspiration and drainage of brain abscesses in 24 patients from a series of 34 consecutive cases. In all patients an intracavitary catheter was left in place for external drainage and daily irrigation with antibiotics. The patients received pre- and postoperatively triple broad spectrum antibiotic treatment, associated with low dose steroids and anti-epileptic drugs. Follow-up CT scans showed immediate reduction of the abscess size and gradual diameter diminution of the enhancing ring structure until its disappearance. The clinical presentation, risk factors, aetiology, outcome, bacteriological and CT findings were analysed. Mortality in this series was 4%. The majority of patients (96%) had no or minimal disability according to the Glasgow Outcome Scale. Our results confirm the value of this treatment policy and suggest that the stereotactic technique is a simple and safe method with minimal mortality and morbidity in the treatment of the majority of chronic brain abscesses.

Citing Articles

Treatment outcome of superficial cerebral abscess: an analysis of two surgical methods.

Tan W, Adnan J, Mohamad Haspani M Malays J Med Sci. 2011; 17(1):23-9.

PMID: 22135522 PMC: 3216147.

Surgical treatment of cerebral abscess with the use of a mobile ultralow-field MRI.

Senft C, Seifert V, Hermann E, Gasser T Neurosurg Rev. 2008; 32(1):77-84.

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CT-guided stereotactic aspiration of brain abscesses.

Boviatsis E, Kouyialis A, Stranjalis G, Korfias S, Sakas D Neurosurg Rev. 2003; 26(3):206-9.

PMID: 12845550 DOI: 10.1007/s10143-003-0257-x.

Stereotactically-guided biopsies of brainstem tumors.

Chico-Ponce de Leon F, Perezpena-Diazconti M, Castro-Sierra E, Guerrero-Jazo F, Gordillo-Dominguez L, Gutierrez-Guerra R Childs Nerv Syst. 2003; 19(5-6):305-10.

PMID: 12732939 DOI: 10.1007/s00381-003-0737-x.

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