New perspectives in the endoscopic treatment of brain purulent collections: targets, techniques, results in a case series, and overview of the literature

Evaluation of Short-Term Efficacy and Safety of Neuroendoscopy in The Treatment of Patients with Brain Abscess

“…The advantage of neuroendoscopy is that it can effectively protect the brain nerve function while removing the lesion,and the trauma is less [4,16,18]. However, the endoscopic technique is more di cult, and part of the operation is limited [9].…”

“…With respect to experimental design, the patients in the current study were divided into three groups based on the surgical methods used, which differs from other case series reports [9,[22][23]26]. The results of the present study are consistent with those of previous retrospective studies indicating that neuroendoscopic treatment can be used as an alternative to stereotactic puncture [13][14]18].It is especially suitable for patients with deep-seated abscess, multilocular abscess and abscess located in functional area [9,18], at the same time, it is also suitable for patients with monocular brain abscess, super cial brain abscess, non-functional brain abscess and repeated puncture ineffective brain abscess who can obtain good therapeutic effect by neuroendoscopic treatment [26].…”

“…With respect to experimental design, the patients in the current study were divided into three groups based on the surgical methods used, which differs from other case series reports [9,[22][23]26]. The results of the present study are consistent with those of previous retrospective studies indicating that neuroendoscopic treatment can be used as an alternative to stereotactic puncture [13][14]18].It is especially suitable for patients with deep-seated abscess, multilocular abscess and abscess located in functional area [9,18], at the same time, it is also suitable for patients with monocular brain abscess, super cial brain abscess, non-functional brain abscess and repeated puncture ineffective brain abscess who can obtain good therapeutic effect by neuroendoscopic treatment [26]. In a series of reports on 52 patients who received surgical treatment for intracranial infection, Kural et al [15] suggested that neuroendoscopic surgery is feasible, safe, and effective, and endoscopic navigation technology provides full visualization of an abscess, which can facilitate su cient drainage and opening of the brous septum as well as complete removal of the abscess wall and electrocoagulation of small blood seepage points.…”

“…Burr-hole drainage has the disadvantages of deep abscesses, incomplete drainage of multi-chamber abscesses, and an inability to open up the separation of abscesses under direct vision, making surgical intervention one of the di cult problems faced by neurosurgeons [22]. Advances in neuroendoscopy technology and its wide clinical application have resulted in better surgical options for the treatment of brain abscess [9,23,26]. The current study retrospectively analyzed clinical data from 61 patients with brain abscesses treated at a single hospital, and assessed the short-term e cacy and safety of neuroendoscopy.…”

Unusual intracranial suppuration: illustrative cases

“…Intracranial suppuration (ICS) is a rare, life-threatening condition that consists of brain abscess (BA), extradural empyema, and subdural empyema (SDE). [1][2][3][4][5][6][7] Prior to the inception of antibiotics, ICS was associated with nearly 100% morbidity and mortality in patients who presented for treatment within 24-48 hours. 6,8 Despite advances in modern neurosurgical technique, diagnostic neuroimaging, and new antibiotic therapies, ICS is still considered to be a dangerous neurosurgical emergency due to its potentially lethal nature.…”