Neurological Surgery No Shinkei Geka Volume 22, Issue 4 (April 1994)

A Case of Brain Abscess of the Basal Ganglia which Resulted in Disastrous Outcome due to Ventricular Ruptures Akira HASHIZUME 1 , Yasunori KODAMA 1 , Takuhiro HOTTA 1 , Kiyoshi YUKI 1 , Eiji TANIGUCHI 1 , Kazuhiko KUROKI 1 , Tetsumi YAMANE 2 , Shoichi KATAYAMA 2 , Kouji IIDA 3 1Department of Neurosurgery, Kure National Hospital 2Department of Clinical Pathology, Kure National Hospital 3Department of Neurosurgery, Hiroshima University School of Meclicine Keyword: Brain abscess , Basal ganglia , Ventricular rupture pp.383-386
Published Date 1994/4/10
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A case of deep-seated brain abscess that ruptured twice into the ventricle and resulted in death is pre-sented.

A 45-year-old man had experienced pyrexia and headache for 3 days before admission. On admission he was somnolent (GCS: 13) but there were no abnormal neurological findings except nuchal rigidity and Ker-nig's sign. Computed tomography (CT) scan showed a ring enhanced mass near the left caudate head and di-lated ventricles. In comparison with CT performed at the former hospital it was diagnosed that a rupture into the ventricle of the brain abscess had occurred. Ven-tricular drainage was performed at once and white purulent cerebrospinal fluid was obtained. Thereafter, he was treated with some antibiotics and his conditions seemed to stabilize for a while. Serial CT images de-monstrated that the size of the abscess seemed to be enlarging. Just when we planned to undertake stereotactic aspiration, the second ventricular rupture occurred and he died.

According to this case, it is suggested that once a deep-seated brain abscess near the ventricular system is suspected, it should be aspirated by means of CT-guided stereotactic surgery immediately.

Copyright © 1994, Igaku-Shoin Ltd. All rights reserved.


Neurological Surgery 脳神経外科
22巻4号 (1994年4月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院