Successful stereotactic management of a large cardiogenic brain stem abscess

Vedantam, Rajshekhar ; Mathew, J. Chandy (1994) Successful stereotactic management of a large cardiogenic brain stem abscess Neurosurgery, 34 (2). pp. 368-371. ISSN 0148-396X

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Official URL: http://journals.lww.com/neurosurgery/Abstract/1994...

Abstract

The brain stem is an unusual location for a pyogenic abscess. We report a case of a brain stem abscess in a 5-year-old boy with tetralogy of Fallot that was refractory to conservative medical therapy but was cured after a single computed tomographic-guided stereotactic aspiration and appropriate antibiotic therapy. The remarkable features in this case were the extremely large size of the abscess (3.2 cm in diameter), occupying the full vertical extent of the brain stem and containing 15 ml of pus. We believe this is the first report of a favorable outcome in a cardiogenic brain stem abscess. The value of computed tomographic-guided stereotactic surgery in the management of this lethal condition is documented with a review of the relevant literature.

Item Type:Article
Source:Copyright of this article belongs to Lippincott Williams and Wilkins.
Keywords:Abscess; Brain Stem; Stereotaxy; Tetralogy Of Fallot
ID Code:67160
Deposited On:29 Oct 2011 03:48
Last Modified:29 Oct 2011 03:48

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