Bacterial Abscess of the Medulla Oblongata

Department

neurosurgery

Document Type

Article

Abstract

Isolated brainstem abscess, specifically, medullary abscess, is rare and often fatal. Diagnosis requires appropriate imaging and a high degree of clinical suspicion. Good outcomes are possible. A 69-year-old woman presented with an isolated medulla oblongata abscess that manifested as a syndrome of rapidly progressive multiple cranial nerve palsies and decreased level of consciousness. Microneurosurgical incision and drainage of the medullary abscess were performed. Maximal therapy of antibiotics, intensive care management, and extended rehabilitation was delivered. A prompt diagnosis of medullary abscess, with immediate microneurosurgical intervention and maximal medical therapy, may result in a good outcome. © 2008 Elsevier Ltd. All rights reserved.

Publication Date

2009

Publication Title

Journal of Clinical Neuroscience

ISSN

0967-5868

Volume

16

Issue

8

First Page

1082

Last Page

1084

Digital Object Identifier (DOI)

10.1016/j.jocn.2008.08.010

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