Walkden Andrew, Shekhar Himanshu, Fouyas Ioannis, Gibson Rod
Department of Neurosurgery, NHS Lothian, Edinburgh, UK.
BMJ Case Rep. 2013 Feb 8;2013:bcr2012008358. doi: 10.1136/bcr-2012-008358.
An unusual presentation of a life-threatening cerebellopontine abscess shows the importance of re-evaluating existing diagnoses when the clinical picture changes. Despite being rare, brain abscess is a potentially fatal condition that requires early radiological and surgical intervention. It has a varied presentation, with many cases showing no localising typical features, making it hard to diagnose at presentation. A high index of suspicion should be applied to cases exhibiting rapidly changing neurology. This is the first reported case of cerebellopontine abscess with no primary infective foci.
一例危及生命的桥小脑脓肿的罕见表现显示了临床情况发生变化时重新评估现有诊断的重要性。尽管脑脓肿罕见，但它是一种潜在致命疾病，需要早期影像学和手术干预。其表现多样，许多病例无定位典型特征，导致发病时难以诊断。对于神经系统症状迅速变化的病例应高度怀疑。这是首例报道的无原发性感染灶的桥小脑脓肿病例。
