Nonsurgical resolution of a brain-stem abscess. Case report.
A case of solitary mesencephalic abscess in a 13-year-old boy is presented. The computerized tomography and clinical pictures, indicating a Weber syndrome and obstructive hydrocephalus, resolved totally 20 days after implantation of a ventriculoatrial shunt and treatment with intravenous chloramphenicol and penicillin. This is the fifth reported case of survival in a patient with a brain-stem abscess, and the first in which this outcome has been achieved without surgical drainage of the abscess.
D000293:Adolescent; D001922:Brain Abscess / Q000150:complications / Q000188:drug therapy*; D001933:Brain Stem; D002557:Cerebrospinal Fluid Shunts; D002701:Chloramphenicol / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery; D008297:Male; D010406:Penicillins / Q000008:administration & dosage
D010406:Penicillins; D002701:Chloramphenicol