Utilization of multidisciplinary surgical techniques to successfully manage 20 brain abscesses in a child

作者：Al Barbarawi Mohammed M; Hayajneh Wail A; Hiasat Mohammad Y; Allouh Mohammed Z^*

来源：Child's Nervous System, 2014, 30(7): 1255-1260.

DOI：10.1007/s00381-014-2393-8

• Aspiration
• Cerebral abscess
• Craniotomy
• Frameless stereotaxy
• Multiple brain abscesses

This study describes a case of multiple brain abscesses in a four-year-old boy who presented with a history of fever and disorientation.
Medical investigations revealed severe leukocytosis and the presence of 20 hypodense lesions in the boy's cerebrum. Initial medical treatment included intravenous antibiotics, antiepileptics, and dexamethasone. The boy underwent five surgical interventions within a period of 5 weeks that included frameless stereotactic craniotomies for aspiration and resection of the abscesses.
At the 3-month follow-up, the boy displayed no neurological deficits and no lesions were detected in his brain.
This study reveals the importance of instituting a standardized protocol to determine the urgency of surgical intervention in cases of brain abscess so that surgical treatment can be applied in the appropriate time period. This case also shows that rewarding results can be obtained in treating brain abscesses in children when the proper treatment method is initiated in the appropriate amount of time.

• 出版日期2014-7