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Related Experiment Videos

Solitary pyogenic thalamic abscess--two case reports

M Yamamoto1, S Hagiwara, Y Umebara

  • 1Department of Neurosurgery, Tokyo Women's Medical College Dai-ni Hospital.

Neurologia Medico-Chirurgica
|September 1, 1993
PubMed
Summary
This summary is machine-generated.

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Solitary thalamic abscesses are rare complications of brain abscesses, seen in 2.2% of cases. While one patient with congenital heart disease died, another fully recovered after surgical drainage.

Area of Science:

  • Neurology
  • Neurosurgery
  • Infectious Diseases

Background:

  • Brain abscesses are serious intracranial infections requiring prompt diagnosis and treatment.
  • Thalamic abscesses, specifically, are uncommon due to the thalamus's deep location and limited blood supply.

Observation:

  • Two cases of solitary thalamic abscesses were identified among 91 surgically-verified brain abscess patients (2.2% incidence).
  • Case 1: A 9-year-old girl with congenital heart disease presented with vomiting, hemiparesis, and altered consciousness, showing a ring-enhanced right thalamic lesion on CT.
  • Case 2: A 30-year-old female experienced headache, nausea, vomiting, somnolence, and hemiparesis, with a left thalamic ring-enhanced lesion on CT.

Findings:

  • The first patient, despite surgical aspiration, succumbed to diffuse brain swelling and abscess rupture into the third ventricle.

Related Experiment Videos

  • The second patient underwent stereotactic aspiration, with complete symptom resolution within two weeks post-surgery.

    • Implications:

    • This case series highlights the critical, albeit rare, occurrence of thalamic brain abscesses.
    • Prompt surgical intervention, such as aspiration, is crucial for managing thalamic abscesses.
    • Outcomes can vary significantly, influenced by factors like underlying comorbidities and abscess complications such as ventricular rupture.