Multiple bilateral cerebral abscesses with hemorrhage.
Brain abscess with spontaneous hemorrhage is an uncommon illness. A rare case of multiple abscesses in both cerebral hemispheres complicated by hemorrhage is reported. Minimally invasive surgery utilizing magnetic resonance imaging (MRI) guidance was performed after extensive testing failed to yield a diagnosis. Streptococcus intermedius was isolated from cultures taken during surgery and intravenous antimicrobial therapy was instituted. Pathology other than metastatic neoplasms and subacute hemorrhage should be considered in cases of cerebral ring-enhancing masses with hemosiderin deposition.
Baumann
C K
CK
Division of Neurosurgery, Bakewell Section of Image Guided Surgery, St. Louis, Missouri 63104-1087, USA.
D001922:Brain Abscess / Q000175:diagnosis* / Q000451:nursing / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation; D008279:Magnetic Resonance Imaging / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation; D009720:Nurse Clinicians; D013238:Stereotaxic Techniques / Q000295:instrumentation; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000451:nursing / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000295:instrumentation