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Persistent brainstem abscess requiring repeat microsurgical drainage: case report.

Wesley Shoap¹, Ellery A Hayden¹, George A Crabill¹

¹Department of Neurosurgery, Louisiana State University, New Orleans, LA, USA.

Journal of Surgical Case Reports

|September 3, 2021

Summary

This case report details a patient with a pontine abscess successfully treated with repeat surgical drainage. Open surgical techniques offer a safe and effective option for brainstem abscess management.

Keywords:

abscess brainstem neurosurgery

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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

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Published on: October 20, 2017

Area of Science:

Neurosurgery
Infectious Diseases
Microbiology

Background:

Brainstem abscesses, particularly pontine abscesses, are rare and challenging clinical entities.
Prompt diagnosis and effective treatment are crucial for favorable outcomes.

Observation:

A patient presented with a pontine abscess requiring surgical intervention.
Initial microscopic abscess drainage was followed by antibiotic therapy.

Findings:

Post-drainage cultures identified *Streptococcus intermedius*.
The patient did not improve clinically after the first surgery and antibiotics.
Repeat surgical drainage led to significant clinical improvement.

Implications:

This case highlights the potential need for repeat surgical intervention in refractory brainstem abscesses.
Open surgical drainage is presented as a viable and effective treatment modality.
Further research into optimal management strategies for brainstem abscesses is warranted.