Kala M, Burval S, Nekula J
Neurochirurgická klinika FNsP, Olomouc.
Cesk Neurol Neurochir. 1991 Jan;54(1):36-40.
The authors subjected 10 patients CT examination after recovery from surgery of cerebral abscesses. The shortest interval after operation was one year, the longest 20 years. In all instances a hypodense focus of varying extent was revealed, in four patients it gave the impression of a pseudocyst. In one patient the author observed a pseudocyst with an expansive effect on the lateral ventricle. Puncture produced clear, colourless fluid without signs of inflammatory changes. Extensive pathological lesions were found in particular in patients where recovery was complicated by a relapse. It was surprising that quite extensive pathological changes were found also in patients who were treated by so-called minimal surgical intervention (puncture with drainage). The authors emphasize the importance of regular postoperative check-ups by CT which make it possible to detect in time possible relapses and leads to optimal therapy before further cerebral tissue is affected.
作者对10例脑脓肿手术后康复的患者进行了CT检查。术后最短间隔时间为1年，最长为20年。在所有病例中均发现有不同程度的低密度灶，4例患者表现为假性囊肿。作者在1例患者中观察到一个对侧脑室有扩张作用的假性囊肿。穿刺抽出清澈、无色的液体，无炎症改变迹象。特别是在康复过程中出现复发的患者中发现了广泛的病理损害。令人惊讶的是，在接受所谓最小手术干预（穿刺引流）治疗的患者中也发现了相当广泛的病理变化。作者强调术后定期进行CT检查的重要性，这使得能够及时发现可能的复发，并在进一步的脑组织受到影响之前进行最佳治疗。
