Micro-abscesses and presumptive inflammatory nodules of the brain

The authors compared the clinical, electroencephalographic and CT evolution of 31 cases of brain hemispheric abscesses. The vital prognosis was largely improved by the introduction of the CT scan, as compared with previous series. The functional evolution was better in the group of patients receiving high dosage (15 cases) antibiotics and/or puncture (4 cases) in the case of a large lesion, than in patients whose abscesses were removed (12 cases). The CT scan confirmed this difference, with frequent atrophy after excision.

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Long term sequelae of hemispheric abscesses as a function of the treatment

Rousseaux

Lesoin

Destée

et al. 1985

Acta neurochir

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Treatment of deep brain abscesses by stereotactic implantation of an intracavitary device for evacuation and local application of antibiotics

et al. 1985

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Complete recovery from deep brain abscesses was achieved in four patients treated by a specialized stereotactic method. In one patient the lesion was in the right thalamus, in two patients within the brain stem and in one case in the right rolandic cortex. The technique consists in the stereotactic implantation of a chronic intracavitary catheter connected to a subcutaneous reservoir to allow postoperative multiple evacuations and local antibiotic irrigations. Serial CT scan examinations guided the timing of intracavitary treatment and the removal of the catheter. No recurrence developed. The diagnostic and therapeutic advantages of this stereotactic technique are emphasized.

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Treatment by aspiration of brain abscesses

et al. 1987

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Sixteen patients, with a total of 18 abscesses, were treated by aspiration and systemic antibiotic therapy, to which antiepileptic prophylaxis and corticosteroids were added. Diagnosis of the abscesses and monitoring of their evolution relied principally upon computed tomography; this technique was also used per-operatively when aspirating small abscesses. Bacteriological examinations were positive in all our cases and a polymicrobial flora was found in half of these. One or, eventually, two aspirations within the same week were sufficient, in most cases, to promote healing. Nevertheless, in three patients, the abscesses, however sterilized, did not show any volume reduction, probably because of adhesions to the dura mater, of a large part of the abscess surface area. One patient died from concomitant cardiac disease and one patient remained seriously disabled. Epilepsy was observed as a sequela, in six patients. This study emphasizes the role of neuroradiological and bacteriological examinations, whilst surgery may be restricted, in most cases, to a simple aspiration.

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Micro-abscesses and presumptive inflammatory nodules of the brain

Cited by 13 publications

References 18 publications

Long term sequelae of hemispheric abscesses as a function of the treatment

Long term sequelae of hemispheric abscesses as a function of the treatment

Treatment of deep brain abscesses by stereotactic implantation of an intracavitary device for evacuation and local application of antibiotics

Treatment by aspiration of brain abscesses

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