Diagnosis and management of abscesses in the basal ganglia and thalamus: A survey

Lutz, T.; Landolt, Hans; Wasner, Morten; Gratzl, O.

doi:10.1007/bf01808554

Cited by 29 publications

(27 citation statements)

References 28 publications

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“…In adults, hematogenous brain abscesses usually occur at areas supplied by middle cerebral artery and very occasionally, in the deep tissues, such as basal ganglia and thalamus [10]. Streptococci and anaerobes are the most commonly encountered microorganisms in basal ganglia and thalamic abscesses [11]. Among the immunocompromised patients, basal ganglia is more commonly affected by toxoplasmosis and tuberculosis.…”

Section: Discussionmentioning

confidence: 99%

A Rare Presentation of Central Nervous System Melioidosis

Yong¹,

Hassan²,

Wong³

et al. 2017

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We report a case of an 18-year-old army man who was diagnosed with cerebral melioidosis with disseminated abscesses. The patient presented with fever and focal neurological signs with positive cerebral imaging findings followed by a positive blood culture for Burkholderia pseudomallei. Further imaging of other sites also revealed multiple abscesses. He responded well to an intensive course of antibiotic therapy of eight-week duration followed by 6 months of eradication therapy. The repeat cerebral imaging showed complete resolution of basal ganglia abscess at the end of intensive antibiotic therapy.

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Section: Discussionmentioning

confidence: 99%

A Rare Presentation of Central Nervous System Melioidosis

Yong¹,

Hassan²,

Wong³

et al. 2017

OALib

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“…Several authors have recorded the utility of stereotactic techniques in the management of brain abscesses. 6,11,25,34,38,43,47,53,55,61,62 There are several advantages of stereotactic aspiration. Only stereotactic aspiration is appropriate for small, deepseated abscesses or those located in eloquent regions of the brain, because it provides a direct and rapid access to the abscess through a predetermined route.…”

Section: Role Of Stereotaxy In Management Of Brain Abscessmentioning

confidence: 99%

“…Therefore, it is ideal for management of abscesses in the thalamus, basal ganglia, or brainstem. 21,38,45,48,52 Stereotactic aspiration also avoids the so-called leukotomy effect that can occur with a freehand aspiration technique. Finally, a biopsy of the wall of the abscess can also be obtained at the same time as the aspiration to confirm the diagnosis in case there is any doubt.…”

Section: Role Of Stereotaxy In Management Of Brain Abscessmentioning

confidence: 99%

Management of brain abscess: an overview

Moorthy

Rajshekhar²

2008

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119

130

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✓ Recent advances in neuroimaging have resulted in a marked decrease in morbidity and death due to brain abscesses. The advent of computed tomography–guided stereotaxy has reduced morbidity in patients with deep-seated abscesses. Empirical therapy is best avoided in the present era, particularly given the availability of stereotactic techniques for aspiration and confirmation of diagnosis. Despite these advances, management of abscesses in patients with cyanotic heart disease and in immunosuppressed patients remains a formidable challenge. Unusual as well as more recently recognized pathogens are being isolated from abscesses in immunosuppressed patients. The authors provide an overview of the management of brain abscesses, highlighting their experience in managing these lesions in patients with cyanotic heart disease, stereotactic management of brain abscesses, and management of abscesses in immunosuppressed patients.

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“…ear, nose, or teeth, and direct implantation by neurosurgery or penetrating trauma [6]. Brain abscess of the basal ganglia is rare, with only 70 cases ever reported [7]. In most patients with brain abscess of the basal ganglia the route is hematogenous, and they usually have pulmonary or congenital cyanotic heart disease as an underlying condition [7].…”

mentioning

confidence: 99%

“…Brain abscess of the basal ganglia is rare, with only 70 cases ever reported [7]. In most patients with brain abscess of the basal ganglia the route is hematogenous, and they usually have pulmonary or congenital cyanotic heart disease as an underlying condition [7]. Brain abscess developing at the site of an ICH is extremely rare, with only 7 cases ever reported [1-5, 9, 10].…”

mentioning

confidence: 99%