Intraventricular Rupture of a Thalamic Abscess.
- Author:
Deuk Chae JEONG
1
;
Suk Jung JANG
;
Tae Heung AHAN
Author Information
1. Department of Neurosurgery, College of Medicine, Chosun University, Kwangju, Korea.
- Publication Type:Case Report
- Keywords:
Brain abscess;
Thalamus;
Intraventricular rupture
- MeSH:
Abscess*;
Anti-Bacterial Agents;
Brain Abscess;
Critical Care;
Diagnostic Imaging;
Drainage;
Gentamicins;
Humans;
Intracranial Pressure;
Mortality;
Rupture*;
Thalamus;
Therapeutic Irrigation;
Vancomycin
- From:Journal of Korean Neurosurgical Society
2001;30(9):1140-1143
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The mortality of patients with brain abscess has decreased significaltly. This has been attributed to improved diagnostic imaging, the evolution of neurosurgical techniques and understanding of intracranial pressure pathophysiology, greater critical care understanding, and newer antibiotics. However, the mortality associated with intraventricular rupture of brain abscess remained consistently high at or above 80% once identified. A case of intraventicular rupture of thalamic abscess with good quality of survival is presented based on aggressive 4-component therapeutic plan used. The four components are 1) extraventricular drainage for 6 weeks, 2) lavage of the ventricular system using closed irrigation system, 3) intravenous antibiotics, 4) intraventricular gentamicin and vancomycin, twice and once daily, respectively.
