Abstract:
:Since the introduction of computed tomography (CT), there have been numerous reports of brain abscess treated successfully without surgery. Because pathologic confirmation was lacking in these patients, diagnosis was based on CT abnormalities, usually ring enhancement. However, our recent clinical experience and the experimental work of others indicate that the "ring sign" on contrast-enhanced CT is not absolutely diagnostic of encapsulated brain abscess. Moreover, in the reported cases of alleged brain abscess cured medically, atypical clinical features suggest that some patients may have had cerebral infarction or cerebritis. Stricter clinical and radiologic criteria are needed before concluding that encapsulated brain abscess can be cured by medical therapy alone.
journal_name
Neurologyjournal_title
Neurologyauthors
Dobkin JF,Healton EB,Dickinson PC,Brust JCdoi
10.1212/wnl.34.2.139subject
Has Abstractpub_date
1984-02-01 00:00:00pages
139-44issue
2eissn
0028-3878issn
1526-632Xjournal_volume
34pub_type
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