• Neurol. Med. Chir. (Tokyo) · Jan 2013

    Case Reports

    Stereotactic biopsy and drainage of a brainstem abscess caused by Listeria monocytogenes.

    • Christopher Beynon, Jan-Oliver Neumann, Julian Bösel, Andreas W Unterberg, and Karl L Kiening.
    • Department of Neurosurgery, Heidelberg University Hospital, 69120 Heidelberg, Germany. christopher.beynon@med.uni-heidelberg.de
    • Neurol. Med. Chir. (Tokyo). 2013 Jan 1; 53 (4): 263-5.

    AbstractListerial rhombencephalitis and brain abscesses are rare, but potentially life-threatening conditions. Early initiation of antibiotic therapy is crucial, but establishing the diagnosis of listerial brainstem abscess can be difficult. Stereotactic biopsy and drainage of space-occupying abscesses of the brainstem should be considered especially in cases of rapid clinical deterioration. We successfully performed stereotactic biopsy and drainage of a listerial brainstem abscess in a 42-year-old male patient who deteriorated despite antibiotic treatment, demonstrating that this approach is suitable in such patients.

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