• Sao Paulo Med J · Jan 2014

    Case Reports

    Brainstem abscess of undetermined origin: microsurgical drainage and brief antibiotic therapy.

    • Pedro Tadao Hamamoto Filho and Marco Antonio Zanini.
    • Department of Neurology, Psychology and Psychiatry, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, São Paulo, Brazil.
    • Sao Paulo Med J. 2014 Jan 1; 132 (2): 121124121-4.

    ContextSolitary brainstem abscesses are rare and they are usually associated with other infections. They are severe conditions with high morbidity and mortality. The surgical options are stereotactic aspiration and microsurgical drainage. Systemic antibiotic therapy is used for more than six weeks.Case ReportWe present the case of a young man with a solitary abscess at the pons, without other systemic infections. The patient was treated by means of microsurgical drainage and antibiotic therapy for three weeks. His postoperative recovery was good.ConclusionsA microsurgical approach may be considered to be an important option for large abscesses that are multiloculated, close to the surface or contain thick fluid. Complete emptying of the purulent accumulation may diminish the required duration of antibiotic therapy.

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