Brain abscess surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Surgery

Surgery has evolved dramatically over the last few decades.

Once requiring open craniotomy and drainage / excision, most procedures are currently minimally invasive, closed, and performed under local anesthesia with conscious sedation and CT guidance.

• CT guidance is accurate to within 4 – 5mm.
• Stereotactic drainage can also be used if necessary, and is accurate to within 1 – 2mm.
• Open craniotomy with complete excision is usually reserved for patients with multiloculated abscesses or in cases due to more resistant pathogens (e.g. fungi and nocardia).

References

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