The Role of the Endonasal Endoscope in the Operative Management of Brain Abscess: A Case Report

Sacks, Daniel W.; Kim, Esther; Russell, Paul T.

doi:10.1055/s-0032-1330955

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…Various treatment options exist for brain abscesses, including external surgical methods such as craniotomy to stereotactic aspiration. The endoscopic endonasal method is a newer and less complicated method used for skull base abscesses [10][11][12][13][14]. In some cases, antibiotics alone may be su cient for the treatment of brain abscesses [3,9].…”

Section: Introductionmentioning

confidence: 99%

Mucormycosis-induced brain abscess treatment without dura opening- a report of three cases

Firouzifar,

akbarpour

2024

Preprint

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purpose Brain abscess following sinonasal mucormycosis is a rare but life-threatening condition that usually occurs during the patient's treatment. Therefore, it is important to pay close attention to its identification and treatment and since our knowledge is mostly based on case reports, a well-documented way of treatment for such cases is yet to be found. Methods A retrospective case series study was conducted at a tertiary hospital. Initially, all patients with brain abscesses following sino-nasal mucormycosis were included, and then patients whose brain abscesses were treated without opening the dura during surgery were selected for the study. The patients received radical debridement of necrotic tissues as well as the infected bones adjacent to the brain abscess cavity. But the dura was not incised. Then they were treated medically for their underlying disease and also with Amphotericine-B. Their brain abscess was monitored 3 weeks post-operatively. Results Three patients with an average age of 41 years were included in the study. All patients had a history of diabetes and had previously been treated for COVID-19 before developing symptoms of sino-nasal infection. The average size of the abscesses was less than 2 cm. Two patients had abscesses in the temporal lobe and one in the frontal lobe. Conclusion Treating brain abscesses adjacent to the skull base by removing infected tissues and bones surrounding the brain abscess without opening the dura can be a viable treatment option for mucormycosis-induced brain abscesses of less than 2 cm. Ethics approval statement: IR.TUMS.AMIRALAM.REC.1402.036

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Section: Introductionmentioning

confidence: 99%

Mucormycosis-induced brain abscess treatment without dura opening- a report of three cases

Firouzifar,

akbarpour

2024

Preprint

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A case of rhinocerebral mucormycosis with brain abscess drained by endoscopic endonasal skull base surgery

Uraguchi

Kozakura²,

Oka³

et al. 2020

Medical Mycology Case Reports

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A 70-year-old Japanese man undergoing remission induction therapy for acute monocytic leukemia (AML-M5b) developed fever and headache, and was started on antibiotics and liposomal amphotericin B (L-AMB). There was no improvement, and computed tomography and contrast-enhanced magnetic resonance imaging revealed acute rhinosinusitis and brain abscess. Successful endoscopic endonasal surgery was performed at this point, providing drainage for the rhinosinusitis and abscess. Histopathological findings showed the mucormycosis.

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Endoscopic Endonasal Drainage of Cerebral Abscess

Dolci

Scapuccin

Cassanti

et al. 2016

Neurosurgery Quarterly

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The Role of the Endonasal Endoscope in the Operative Management of Brain Abscess: A Case Report

Abstract: Transnasal endoscopic drainage of brain abscesses appears to be safe and has particular advantages in specific cases over the current operative standard, which are likely to prove beneficial for patients and cement it as a feasible alternative to stereotactic aspiration and craniotomy.

Cited by 4 publications

References 9 publications

Mucormycosis-induced brain abscess treatment without dura opening- a report of three cases

Mucormycosis-induced brain abscess treatment without dura opening- a report of three cases

A case of rhinocerebral mucormycosis with brain abscess drained by endoscopic endonasal skull base surgery

Endoscopic Endonasal Drainage of Cerebral Abscess

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