Minim Invasive Neurosurg 1996; 39(4): 108-112
DOI: 10.1055/s-2008-1052228
© Georg Thieme Verlag Stuttgart · New York

Stereotactic Aspiration and Drainage of Brain Abscesses. Experience with 9 Cases

Miran Skrap, A. Melatini, A. Vassallo, C. Sidoti
  • Divisione di Neurochirurgia, Ospedale di Cattinara, Trieste, Italy
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Publication History

Publication Date:
18 March 2008 (online)


The first-line treatment for brain abscesses is still a much-debated argument. Recently, stereotactic aspiration of these lesions has gained ground as a valid alternative to the traditional medical and/or surgical therapeutical treatments. From 1991 to 1995, 9 patients affected by intracranial abscesses were surgically treated by stereotactic puncture of the lesion and drainage of pus, using the Kelly-Goerss stereotactic system. Multiple abscesses were present in one case. Specific antibiotic therapy was used in the post-operative stage, when possible. One death occurred four weeks after surgery for acute ischemia of the brain stem. Follow-up CT demonstrated gradual resolution of the abscesses in all the cases and a successful return to normal daily life in all the surviving patients. In one case, recurrence of the abscess occurred two months after resolution: a successful result was obtained by steroids and broad-spectrum antibiotic therapy alone. Possible advantages of this technique are discussed and compared with the traditional routes. The literature concerning this argument is reviewed.