6
Domagoj Jugović Andrej Porčnik Marjan Koršič University Medical center Ljubljana, Slovenia Neuroendoscopic treatment of the midbrain abscess: a case report
| Date post: | 13-Dec-2015 |
| Category: |
Documents |
| Upload: | adam-jennings |
| View: | 214 times |
| Download: | 0 times |
Domagoj JugovićAndrej PorčnikMarjan KoršičUniversity Medical center Ljubljana, Slovenia
Neuroendoscopic treatment of the midbrain abscess: a case report
Introduction
1st Congress of Southeast European Neurosurgical Society - SEENS 2
• Midbrain abscesses are rare and were fatal until recently. • The optimal treatment is not yet defined. • It can be managed by pharmacological treatment alone, stereotactic
aspiration with pharmacological treatment, or surgical removal/drainage of the abscess.
• We applied a neuroendoscopy to treat a large midbrain abscess. • .Pathohistological examination confirmed cerebral abscess. Conclusion:
Purely neuroendoscopic procedure can be a permanent solution for treating large midbrain abscess without complications and with good outcome. Neuronavigation is a useful tool,
Case report
A 50-years old male presented with progressive pupil-involving third nerve palsy, contralateral hemiparesis and dysarthria.
Magnetic resonance imaging revealed a 2.6 cm x 1.8 cm ring-enhancing lesion in the left side of the midbrain and left cerebral peduncle with associated edema
1st Congress of Southeast European Neurosurgical Society - SEENS 3
Case report - operation
Neuroendoscopic removal of the lesion was performed through the right lateral and third ventricle using a rigid endoscope with neuronavigation.
Pathohistological examination confirmed cerebral abscess.
1st Congress of Southeast European Neurosurgical Society - SEENS 4
His neurological condition gradually improved, no new neurological deficits appeared.
MRI 2 months after the operation showd no sign of abscess.
1st Congress of Southeast European Neurosurgical Society - SEENS 5
Conclusion
• Purely neuroendoscopic procedure can be a permanent solution for treating large midbrain abscess without complications and with good outcome.
• Neuronavigation is a useful tool which increases the accuracy and safety of the surgical procedures.
Domagoj JugovićAndrej PorčnikMarjan KoršičUniversity Medical center Ljubljana, Slovenia
1st Congress of Southeast European Neurosurgical Society - SEENS 6
![Neuroendoscopic Approach for the Management of a Rare ......towards the third ventricle cavity [2]. In differential diagnosis list of the tumors presenting in the third ventricle,](https://static.documents.pub/doc/80x56/600aaa5498759830c30863b6/neuroendoscopic-approach-for-the-management-of-a-rare-towards-the-third.jpg)
