CT-guided stereotactic aspiration of brain abscesses.

Abstract:

:The effective treatment of intracranial abscess remains controversial. Progress in technology, linked with the development of neuronavigational systems, has made stereotactic aspiration and drainage of intracerebral abscesses effective and valid alternatives to traditional methods, namely, conservative medical treatment or open surgical excision. Between 1995 and 2002, 12 patients at our hospital underwent drainage of intracerebral abscesses under stereotactic guidance. Ten patients had solitary lesions and two had multiple abscesses. The appropriate antibiotic schemes were administered following culture of the aspirated material. The size of the abscess, the mass effect, and response to antibiotic treatment were followed up by repeated CT scans. All patients showed improvement and, at the end of treatment, returned to their previous activities. There were neither deaths nor any postoperative complication. A second aspiration was required in one patient due to recurrence of the abscess. The CT-guided stereotactic aspiration of brain abscesses helps achieve all treatment goals. It drains the contents of the abscess, reduces mass effect, and confirms diagnosis. It is minimally invasive, carries minimal morbidity and mortality, and can be performed on compromised patients under local anesthesia.

journal_name

Neurosurg Rev

journal_title

Neurosurgical review

authors

Boviatsis EJ,Kouyialis AT,Stranjalis G,Korfias S,Sakas DE

doi

10.1007/s10143-003-0257-x

keywords:

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

206-9

issue

3

eissn

0344-5607

issn

1437-2320

journal_volume

26

pub_type

杂志文章
  • Intraoperative angiography in cerebral aneurysm and AV-malformation.

    abstract::The device is constructed for intra-operative angiographic studies. The main features of the unit are: semi-automatic positioning of the tube into preset coordinates, TV camera serving as receptor, reproduction of the videosignal with twice the number of lines compared with that used normally, retrieval technique perm...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/BF01780706

    authors: Bauer BL

    更新日期:1984-01-01 00:00:00

  • Factors predicting pituitary adenoma invasiveness in acromegalic patients.

    abstract::Forty-four adult acromegalic patients carrying growth hormone-producing pituitary macroadenomas were investigated with neuroradiological and endocrinological techniques. Plasma growth hormone and somatomedin-C levels were repeatedly measured before surgical removal of tumors and during the follow-up period. Twenty-fiv...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/BF01105562

    authors: Rieger A,Rainov NG,Ebel H,Sanchin L,Shibib K,Helfrich C,Hoffmann O,Burkert W

    更新日期:1997-01-01 00:00:00

  • Osteoplastic laminotomy using titanium microplates for reconstruction of the laminar roof: a technical note.

    abstract::A technique to reconstruct the posterior elements of the spinal canal in osteoplastic laminotomy is described. The use of titanium microplates allows a stable fixation of the laminar arch with optimal realignment of the lamina cut ends. The titanium implants are fully compatible with magnetic resonance imaging. The au...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/BF02389311

    authors: Wiedemayer H,Schoch B,Stolke D

    更新日期:1998-01-01 00:00:00

  • Anatomy of the superior petrosal veins and their exposure and management during petrous apex meningioma surgery using the lateral suboccipital retrosigmoid approach.

    abstract::During surgeries in the upper cerebellopontine angle (CPA), the superior petrosal veins (SPVs) often act as obstacles; and their sectioning sometimes causes serious complications. In this study, we introduced a classification system for the SPVs wherein their tributaries were classified into four groups on the basis o...

    journal_title:Neurosurgical review

    pub_type: 杂志文章,评审

    doi:10.1007/s10143-014-0548-4

    authors: Matsushima T,Kawashima M,Inoue K,Matsushima K

    更新日期:2014-10-01 00:00:00

  • Diseases of the vertebral arteries.

    abstract::Case reports and postmortem neuropathological findings of a wide spectrum of diseases affecting the vertebral arteries, in particular vasculitis, traumatic lesions, degenerative changes and congenital abnormalities, are discussed. ...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/BF00638894

    authors: Busch H,Bohl J,Mattern R,Meyermann R

    更新日期:1990-01-01 00:00:00

  • A biological concept for diagnosis, treatment and therapy control of endogenous psychoses.

    abstract::A multidimensional concept of diagnosis and treatment of mental disorders is presented. Major contributions to basic research come from pharmacological experiments. Clinical outcome in treatment of endogenous depression can be assessed by rating scales and psychophysiological tests and correlated with the serum level ...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/BF01650030

    authors: Bergener M,Hesse C

    更新日期:1980-01-01 00:00:00

  • Demographics, presentation, and clinical outcomes after traumatic bifrontal contusions: a systematic review.

    abstract::Traumatic bifrontal contusions (TBC) form a recognised clinical entity among patients with traumatic brain injury (TBI). This study aims to systematically review current literature on demographics, management, and predictors of outcomes of patients with TBC. A multi-database literature search (PubMed, Cochrane, OVID M...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-019-01098-0

    authors: Van de Zande N,Manivannan S,Sharouf F,Shastin D,Abdulla M,Chumas PD,Zaben M

    更新日期:2020-06-01 00:00:00

  • Stereotactic radiosurgery for head and neck paragangliomas: a systematic review and meta-analysis.

    abstract::Head and neck paragangliomas (HNPs) are rare, usually benign hyper vascularized neuroendocrine tumors that traditionally have been treated by surgery, with or without endovascular embolization, or, more recently stereotactic radiosurgery (SRS). The aim of our study is to determine the clinical and radiographic effecti...

    journal_title:Neurosurgical review

    pub_type: 杂志文章,评审

    doi:10.1007/s10143-020-01292-5

    authors: Fatima N,Pollom E,Soltys S,Chang SD,Meola A

    更新日期:2020-04-21 00:00:00

  • Neuroendoscopic biopsy and the treatment of tumor-associated hydrocephalus of the ventricular and paraventricular region in pediatric patients: a nationwide study in Japan.

    abstract::A neuroendoscopic biopsy is a minimally invasive and useful procedure for the diagnosis and initial management of tumor-associated hydrocephalus. We describe the nationwide investigation of the current status of neuroendoscopic biopsy for intra- and paraventricular tumors in children, as well as the treatment of tumor...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-015-0629-z

    authors: Miwa T,Hayashi N,Endo S,Ohira T

    更新日期:2015-10-01 00:00:00

  • Spontaneous evacuation of cerebellar abscess through the middle ear. A case report.

    abstract::Otogenic brain abscesses are a significant cause of mortality and morbidity in developing countries. Usually they occur either by distant thrombophlebitis of cerebral veins or by direct extension in an unsafe type of chronic suppurative otitis media. This case of cerebellar abscess was prepared for surgical excision, ...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/BF01111489

    authors: Kumar R,Sharma R,Tyagi I

    更新日期:1998-01-01 00:00:00

  • Pure endoscopic endonasal odontoidectomy: anatomical study.

    abstract::Different disorders may produce irreducible atlanto-axial dislocation with compression of the ventral spinal cord. Among the surgical approaches available for a such condition, the transoral resection of the odontoid process is the most often used. The aim of this anatomical study is to demonstrate the possibility of ...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-007-0084-6

    authors: Messina A,Bruno MC,Decq P,Coste A,Cavallo LM,de Divittis E,Cappabianca P,Tschabitscher M

    更新日期:2007-07-01 00:00:00

  • Epidermoid tumor of the occipital bone.

    abstract::Intradiploic epidermoid tumor of the occipital bone was presented. There were neither intracranial extensions nor neurologic deficits. The lesion started as a painless mass under the scalp. The total removal of the tumor was associated with a good prognosis. ...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/BF00418080

    authors: Kuzeyli K,Duru S,Cakir E,Baykal S,Ceylan S,Aktürk F

    更新日期:1996-01-01 00:00:00

  • Anterior subtemporal approach for posteriorly projecting posterior communicating artery aneurysms.

    abstract::We report our experience with the anterior subtemporal approach for the posterior communicating artery aneurysm protruding posteriorly. Between 2000 and 2005, seven patients with posterior communicating artery aneurysm were operated on through the anterior subtemporal approach. The approach provided a better view than...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-007-0083-7

    authors: Horiuchi T,Nakagawa F,Tanaka Y,Miyama H,Hongo K

    更新日期:2007-07-01 00:00:00

  • On-ward surgical management of wound dehiscence: report of a single neurosurgical center experience and comparison of safety and effectiveness with conventional treatment.

    abstract::The early identification and optimized treatment of wound dehiscence are a complex issue, with implications on the patient's clinical and psychological postoperative recovery and on healthcare system costs. The most widely accepted treatment is surgical debridement (also called "wash out"), performed in theater under ...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-018-1022-5

    authors: Di Rienzo A,Colasanti R,Liverotti V,Benigni R,Paracino R,Bizzocchi G,Scerrati M,Iacoangeli M

    更新日期:2020-02-01 00:00:00

  • Efficacy and safety of gamma knife radiosurgery for posterior cranial fossa meningioma: a systematic review.

    abstract::The management of posterior cranial fossa meningioma [PCFM] is challenging and many neurosurgeons advise gamma knife radiosurgery [GKRS] as a modality for its upfront or adjuvant treatment. Due to the varying radiosurgical response based on lesion location, tumor biology, and radiation dosage, we performed a pioneer a...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-019-01144-x

    authors: Jumah F,Narayan V,Samara A,Quinoa TR,Dossani RH,Gupta G,Nanda A

    更新日期:2020-08-01 00:00:00

  • Proliferation rate of intracranial meningiomas as defined by the monoclonal antibody MIB-1: correlation with peritumoural oedema and other clinicoradiological and histological characteristics.

    abstract::Paraffin-embedded surgical specimens from 55 meningiomas were immunostained after microwave processing using the streptavidin/peroxidase method and the monoclonal antibody (moAb) MIB-1 to the Ki-67 antigen. The authors assessed proliferative labelling index (LI) from a series of surgically removed meningiomas using im...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-003-0261-1

    authors: Aguiar PH,Tsanaclis AM,Tella OI Jr,Plese JP

    更新日期:2003-07-01 00:00:00

  • Oculomotor nerve palsy in patients with cerebral aneurysms.

    abstract::Twenty-six patients with oculomotor nerve palsy due to cerebral aneurysms were examined. There were six males and twenty females with a mean age of 55 years. 25 of the 26 aneurysms were located at the junction of the internal carotid and the posterior communicating artery and one was at the junction of the basilar art...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/BF01741485

    authors: Fujiwara S,Fujii K,Nishio S,Matsushima T,Fukui M

    更新日期:1989-01-01 00:00:00

  • Cardiac manifestations in a western moyamoya disease population: a single-center descriptive study and review.

    abstract::An embryological association between moyamoya disease (MMD) and cardiac manifestations has been proposed. Data up to this point remains anecdotal, and the prevalence of cardiac manifestations in a western MMD population is uncertain. The objective of this study was to determine the prevalence of cardiac manifestations...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-020-01327-x

    authors: Larson AS,Savastano L,Klaas J,Lanzino G

    更新日期:2020-06-07 00:00:00

  • Remote cerebellar hemorrhage after spinal procedures (part 2): a systematic review.

    abstract::A remote cerebellar hemorrhage (RCH) is a spontaneous bleeding in the posterior fossa, which can be rarely observed as a complication of spine surgery. As well as for RCH reported after supratentorial procedures, it shows a characteristic bleeding pattern defined "zebra sign". Nowadays, RCH pathophysiology still remai...

    journal_title:Neurosurgical review

    pub_type: 杂志文章,评审

    doi:10.1007/s10143-015-0673-8

    authors: Sturiale CL,Rossetto M,Ermani M,Baro V,Volpin F,Milanese L,Denaro L,d'Avella D

    更新日期:2016-07-01 00:00:00

  • Polysomnographic respiratory findings in patients with Arnold-Chiari type I malformation and basilar invagination, with or without syringomyelia: preliminary report of a series of cases.

    abstract::Patients with craniocervical disorders (CCD) show a wide variety of symptoms and signs suggesting cerebellar and/or high cervical lesion. The anatomic localization of respiratory centers and their possible injury may explain the presence of respiratory disturbances in these diseases. The aim of this preliminary study ...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/pl00011947

    authors: Botelho RV,Bittencourt LR,Rotta JM,Tufik S

    更新日期:2000-09-01 00:00:00

  • Beta-blockers and glioma: a systematic review of preclinical studies and clinical results.

    abstract::Given the median survival of 15 months after diagnosis, novel treatment strategies are needed for glioblastoma. Beta-blockers have been demonstrated to inhibit angiogenesis and tumor cell proliferation in various cancer types. The aim of this study was to systematically review the evidence on the effect of beta-blocke...

    journal_title:Neurosurgical review

    pub_type: 杂志文章,评审

    doi:10.1007/s10143-020-01277-4

    authors: Tewarie IA,Senders JT,Hulsbergen AFC,Kremer S,Broekman MLD

    更新日期:2020-03-14 00:00:00

  • Solid cerebral echinococcosis mimicking a primary brain tumor.

    abstract::Solitary brain affection is rare in echinococcosis. We report the case of a 35-year-old woman presenting with symptomatic grand-mal epilepsy due to a right frontal, partially cystic space-occupying lesion. Pre-operative computed tomography and magnetic resonance imaging (MRI) suggested a cystic astrocytoma. However, h...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s101430050011

    authors: Nanassis K,Alexiadou-Rudolf C,Tsitsopoulos P,Tzioufa V,Petsas G,Grigoriou K

    更新日期:1999-01-01 00:00:00

  • Brainstem cavernoma surgery with the support of pre- and postoperative diffusion tensor imaging: initial experiences and clinical course of 23 patients.

    abstract::The spatial complexity of highly vulnerable structures makes surgical resection of brainstem cavernomas (BSC) a challenging procedure. Diffusion tensor imaging (DTI) allows for the visualization of white matter tracts and enables a better understanding of the anatomical location of corticospinal and sensory tracts bef...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-014-0550-x

    authors: Ulrich NH,Kockro RA,Bellut D,Amaxopoulou C,Bozinov O,Burkhardt JK,Sarnthein J,Kollias SS,Bertalanffy H

    更新日期:2014-07-01 00:00:00

  • Outcome of retreatment for recurrent saccular cerebral aneurysms: a propensity score-matched analysis.

    abstract::Although endovascular or surgical treatment has been performed for preventing the rupture of saccular cerebral aneurysms (sCA), in some patients, the aneurysms may recur and require retreatment. We aimed to investigate the clinical and radiological outcomes of treating recurrent sCA. We retrospectively evaluated the d...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-020-01259-6

    authors: Matsukawa H,Tanikawa R,Kamiyama H,Noda K,Uchida K,Shirakawa M,Yoshimura S

    更新日期:2020-02-21 00:00:00

  • Supratentorial pediatric cortical ependymomas: a comprehensive retrospective study.

    abstract::Pediatric cortical ependymomas (CEs) are rare; the clinical features and optimal treatment remain ill-defined. We aimed to clarify the clinical characteristics and outcome of pediatric CEs based on institutional series and literature review. Thirteen children with CEs from our department were included in the present s...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-020-01336-w

    authors: Wang Q,Cheng J,Zhang S,Li Q,Hui X,Ju Y

    更新日期:2020-06-30 00:00:00

  • Evaluation of dural arteriovenous fistulas of cavernous sinus before and after endovascular treatment using time-resolved MR angiography.

    abstract::Digital subtraction angiography (DSA) is the preferred method for confirming dural arteriovenous fistulas (DAVFs), but it has the disadvantage of being invasive. In contrast, time-resolved magnetic resonance angiography (TR-MRA) is a useful, noninvasive imaging technique. The aim of this study was to compare the evalu...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-010-0246-9

    authors: Sakamoto S,Shibukawa M,Kiura Y,Matsushige T,Abe N,Kurisu K

    更新日期:2010-04-01 00:00:00

  • Effects of ionizing radiation on brain tissue surrounding arteriovenous malformations: an experimental study in a rat caroticojugular fistula model.

    abstract::Arteriovenous malformation (AVM) may change the cerebral hemodynamics. The purpose of this study was to detect the effects of ionizing radiation (IR) on tissues surrounding AVM in a rat caroticojugular fistula model. Forty rats were divided into four groups. Eight weeks after caroticojugular fistulas and chronic hypop...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-003-0316-3

    authors: Mut M,Oge K,Zorlu F,Undeğer U,Erdem S,Ozcan OE

    更新日期:2004-04-01 00:00:00

  • Giant cavernous hemangiomas: report of three cases.

    abstract::Giant cavernous hemangiomas occur very rarely, and little has been reported about their behavior. In this case report three cavernous hemangiomas with a diametric measure between 6 cm and 7 cm and distinct features will be described. A 36-year-old female patient presented with headache and nausea. A CT scan disclosed ...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-006-0042-8

    authors: van Lindert EJ,Tan TC,Grotenhuis JA,Wesseling P

    更新日期:2007-01-01 00:00:00

  • Two-staged operation on C2 neoplastic lesions: anterior excision and posterior stabilization.

    abstract::This retrospective study included eight consecutive cases with C2 vertebral body neoplastic lesions. The anterior retropharyngeal approach was used to remove the lesions and decompress the spinal cord. Spinal stabilization with occipitocervical plating in a second-stage operation makes the treatment more tolerable for...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/s10143-003-0319-0

    authors: Colak A,Kutlay M,Kibici K,Demircan MN,Akin ON

    更新日期:2004-07-01 00:00:00

  • Clinical and ultrastructural observations of maturing human frontal cortex. Part I (Biopsy material of hydrocephalic infants).

    abstract::Three of 30 human cerebral cortex biopsies from infants treated for hydrocephalus by shunt operation are described. The descriptions include an account of their case history, the clinical methods, and the operational procedures. The biopsy specimens were studied in semithin and ultrathin sections. Attention is drawn t...

    journal_title:Neurosurgical review

    pub_type: 杂志文章

    doi:10.1007/BF01741422

    authors: Glees P,Voth D

    更新日期:1988-01-01 00:00:00