title: [OPTIMIZATION OF THE TREATMENT TACTICS IN BRAIN ABSCESS, USING THE PUNCTURE STEREOTAXIC ASPIRATION].
abstract: There was analyzed the application efficacy of stereotaxic aspiration of the brain abscess (BA) content, localized in a deep and functionally significant parts of the brain, in 12 patients--with supratentorial BA. Stereotaxic interventions were performed, using stereotaxic systems CRW Radionics (USA) and the security program for calculation of coordynates StereoFusion, StereoPlan (Radionics), Fraime Link (Medtronic, USA). Postoperative observation period have lasted from 1 to 36 mo, (14 ± 3.6) mo at average. lntraoperatively in 11 (91.7%) patients a purulent content of BA was evacuated, and in 1 (8.3%)--a BA was diagnosed in the encephalitis stage. Stereotaxic aspiration is an effective and secure method of surgical treatment of BA. It may constitute an alternative to open surgical excision of BA due to lesser invasiveness and possibility of the neurological complications occurrence.
authors.forename: Ya P
authors.initials: YP
authors.lastname: Zihnkevych
authors.forename: S P
authors.initials: SP
authors.lastname: Borshchov
authors.forename: K R
authors.initials: KR
authors.lastname: Kostyuk
authors.forename: T A
authors.initials: TA
authors.lastname: Malysheva
mesh_terms: D000328:Adult; D000368:Aged; D001921:Brain / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D004660:Encephalitis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D011677:Punctures / Q000379:methods*; D012189:Retrospective Studies; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D013238:Stereotaxic Techniques; D013291:Streptococcus / Q000302:isolation & purification; D013396:Suction / Q000379:methods*; D014057:Tomography, X-Ray Computed