Brain abscess surgery: Difference between revisions
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==Surgery== | ==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. | 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 – | * [[CT]] guidance is accurate to within 4 – 5 mm. | ||
* Stereotactic drainage can also be used if necessary, and is accurate to within 1 – | * Stereotactic drainage can also be used if necessary, and is accurate to within 1 – 2 mm. | ||
* 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]]). | * 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]]). | ||
Revision as of 19:20, 25 February 2013
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 – 5 mm.
- Stereotactic drainage can also be used if necessary, and is accurate to within 1 – 2 mm.
- 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).