Diagnosis and Treatment of Brainstem Abscess Using Magnetic Resonance Imaging and Microsurgical Aspiration Case Report

A 6-year-old boy presented with a pontine abscess initially misdiagnosed as brainstem glioma, but he deteriorated rapidly and developed new symptoms of respiratory distress. Magnetic resonance (MR) imaging revealed a rapidly growing mass lesion in the pons. Microsurgical evacuation of the abscess vi...

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Bibliographic Details
Published inNeurologia medico-chirurgica Vol. 35; no. 3; pp. 160 - 164
Main Authors IMAI, Hideaki, ONO, Nobuo, ZAMA, Akira, TAMURA, Masaru
Format Journal Article
LanguageEnglish
Published Japan The Japan Neurosurgical Society 1995
Subjects
abscess
Brain Abscess - diagnosis
Brain Abscess - surgery
brainstem
Child
computed tomography
Humans
Magnetic Resonance Imaging
Male
Microsurgery
Pons
Suction
surgical treatment
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Summary:A 6-year-old boy presented with a pontine abscess initially misdiagnosed as brainstem glioma, but he deteriorated rapidly and developed new symptoms of respiratory distress. Magnetic resonance (MR) imaging revealed a rapidly growing mass lesion in the pons. Microsurgical evacuation of the abscess via a suboccipital retromastoid approach resulted in neurological improvement and resolution of the lesion on MR images. Brainstem abscess can be successfully treated with early, accurate diagnosis based on MR imaging and appropriate microsurgical and antibiotic management.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:0470-8105
1349-8029
DOI:10.2176/nmc.35.160