MRI-guided stereotatic aspiration for the treatment of deep-seated tentorial empyema: a case report.
Tentorial empyema is a rare intracranial infection. In the past, most authors treated the subdural empyema by craniotomy, craniectomy or burr hole drainage. In the case presented, magnetic resonance imaging (MRI)-guided stereotatic aspiration was used to treat deep-seated extensive tentorial empyema successfully, via a simple burr hole to avoid any brain resection and retraction. This operation method is relative simple and effective for treating deep-seated intracranial empyema, significantly reduces the risk of injury to the lateral temporal lobe cortex or transection of optic radiations. On the other hand, it must be emphasized that contrast-enhanced MRI scan may offer a more sensitive and better diagnostic procedure than contrast enhanced computed tomography (CT) scan.
Chou
C K
CK
Department of Neurosurgery, Veterans General Hospital-Taipei, Taiwan, R.O.C.
Chung
W Y
WY
Pan
H C
HC
Lee
L S
LS
Wang
C R
CR
Ku
Y C
YC
Shann
T Y
TY
D000328:Adult; D013354:Empyema, Subdural / Q000628:therapy*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013238:Stereotaxic Techniques; D013396:Suction