Aspects of modern brain abscess diagnosis and treatment
Autor: | W. Schiefer, M. Klinger |
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Rok vydání: | 1978 |
Předmět: | |
Zdroj: | Neurosurgical Review. 1:37-45 |
ISSN: | 1437-2320 0344-5607 |
DOI: | 10.1007/bf01647459 |
Popis: | A clinical analysis of 115 patients with brain abscesses, who were operated in our department, provide valuable information about the diagnosis and treatment of such abscesses. Even in this antibiotic era the brain abscess has not lost its significance. The diagnosis of this lesion is one of the most difficult problems in neurology, and modern approaches with highly specialized instruments are therefore of especial importance; brain abscesses today are best detected by computer tomography. Various methods of treatment are described. The preferred procedure is a combined treatment consisting of puncture of the abscess, repeated aspiration of pus, instillation of a suitable antibiotic into the abscess cavity and complete removal of the abscess capsule at a later date. The importance of this treatment scheme is demonstrated by our own observations. Several unsolved problems including the prevention and treatment of rupture into the ventricle, the occurrence of multiple abscesses and the clinical treatment of fresh phlegmonous inflammations are discussed. |
Databáze: | OpenAIRE |
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