ABSTRACT
An intratumoral or peritumoral microbial intracranial abscess is an infrequent diagnosis. The development of this complication may not be preceded by apparent local or general infection in all cases. To identify this diagnosis by radiological (MRI) or laboratory investigations is very intricate. Nevertheless, the recommended life-saving strategy is early surgery with resolution of both the tumor and infection. If subsequent oncological treatment is required, it has to be adjusted for prevention of re-inflammation. The described patient suffered from an intracranial abscess superimposed on a Glioblastoma Multiforme. The confirmed etiological agent was Staphylococcus aureus. The suspected route of microbial migration and colonization in this tumor was bacteremia via agents from thrombophlebitis. The patient is in a good condition following surgery, antimicrobial treatment, and radiotherapy.
Subject(s)
Abscess/complications , Brain Neoplasms/complications , Glioblastoma/complications , Abscess/pathology , Abscess/surgery , Brain Neoplasms/pathology , Brain Neoplasms/surgery , Female , Glioblastoma/pathology , Glioblastoma/surgery , Humans , Magnetic Resonance Imaging/methods , Middle AgedABSTRACT
The authors present an overview on CT-guided stereotaxy performed in the last 10 years in the University Hospital Olomouc. During this period a total of 811 stereotactic brain operations were performed. Of these, 710 were done in the field of afunctional and 101 in the field of functional stereotaxy. The majority of procedures were biopsies of intracranial lesions (n = 464), evacuations of intracerebral hematomas with or without drainage and fibrinolysis (n = 147) and thalamotomies in patients with Parkinson's disease (n = 88). With the exception of the two years at the beginning, the number of yearly performed stereotaxies varied between 66-106 (mean, 86.9). Serious complications appeared after three procedures (0.37 %).
