Abstract:
:We present a case of multiple brain lesions in which the preoperative computerized tomographic (CT) scan suggested the presence of brain abscesses rather than metastatic tumors. The patient presented with symptoms of left frontal and right cerebellar mass lesions, confirmed by carotid and vertebral arteriography and a radionuclide brain scan. A CT scan revealed multiple contiguous ring-enhancing lesions of various sizes at both sites. With the exception of a prior mild pulmonary infection, no findings suggested underlying malignancy, immunosuppression, or medical illness. We based our decision to administer antibiotics preoperatively on the presumed presence of abscess. We found and totally removed two multiloculated abscesses during one operation and initiated sulfa drug therapy (sulfisoxazole) immediately after identification of the Nocardia organism. The patient experienced no postoperative complications and at 6-months follow-up is clinically free of disease.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Rosenblum ML,Rosegay Hdoi
10.1227/00006123-197904000-00007subject
Has Abstractpub_date
1979-04-01 00:00:00pages
315-8issue
4eissn
0148-396Xissn
1524-4040journal_volume
4pub_type
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