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Journal of Korean Neurosurgical Society 1995;24(4): 414-421.
Stereotactic Aspiration for the Treatment of Brain Abscess.
H Y Lee, C J Kim, Y Kwon, J K Lee, B D Kwun, C Jin Whang
Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
Twelve cases of brain abscess treated in Asan medical center during the recent 3 years from June, 1989 to December, 1992 were reviewed. The patients consisted of 6 males and 6 females. The metastatic abscess(hematogenous spread) constituted the largest group(58%), and most of them had been suffering from systemic medical disease. Headache was by far the most common symptom and the parietal lobe was the most common site. Fourteen operations in 12 patients consisted of 9 stereotactic aspirations(including 2 reoperation cases), 2 exisions, 2 ultrasono-guided aspirations, and one free-hand aspiration. Among these procedures, 12 aspirations yielded complete resolution in 9 cases(including second aspiration for another lesion in 1 patient), 1 persistent abscess requiring reoperation, and 1 mortality. The stereotactic aspiration of the brain abscess provided a surgical solution with relatively low risk in the poor candidate for receiving general anesthesia, in multiple lesions, and in lesions of deep or eloquent area.
Key Words: Brain abscess; Stereotactic; Aspiration; Excision
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