Pyogenic brain abscess managed by repeated elective aspiration.
37 cases of capsular stage of brain abscess based upon CT scan staging were treated by repeated elective aspiration through a burr hole and intracavitary application of antibiotics on alternate days, till two consecutive negative aspirations were obtained. A combination of furosemide and antibiotics in multiple doses were also given. The mortality rate was 2.7% and the morbidity rate 8.3%. Corticosteroids were not used in the management of brain abscess. Thus, repeated elective aspiration was found to be an effective mode of surgical management of brain abscess.
Srinivasan
U S
US
Department of Neurosurgery, PSG Institute of Medical Sciences and Research, Coimbatore, 641041, India.
Gajendran
R
R
Joseph
M J
MJ
D000328:Adult; D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D016905:Gram-Negative Bacterial Infections / Q000150:complications*; D006801:Humans; D007223:Infant; D012189:Retrospective Studies; D013396:Suction; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome