Prakash B, Mehta G, Gondal R, Kumar S, Malhotra V
Department of Neurosurgery, G.B. Pant Hospital, New Delhi, India.
Surg Neurol. 1989 Dec;32(6):445-8. doi: 10.1016/0090-3019(89)90009-8.
Three cases of tuberculous abscess of the brain stem were treated with excision of the abscess supplemented with antitubercular therapy for 12 to 18 months. The lesions were frankly purulent and tubercle bacilli were demonstrated in the pus. A computed tomography scan demonstrated the site and extent of the lesion. Two of three patients developed the abscess during the course of antitubercular therapy for associated tubercular lesions. In spite of modern antitubercular treatment the abscess did not resolve and surgical excision had to be employed as a curative treatment.
3例脑干结核性脓肿患者接受了脓肿切除治疗,并辅以12至18个月的抗结核治疗。病变为明显的脓性,脓液中发现结核杆菌。计算机断层扫描显示了病变的部位和范围。3例患者中有2例在抗结核治疗相关结核病变过程中发生了脓肿。尽管采用了现代抗结核治疗,脓肿仍未消退,不得不采用手术切除作为治疗方法。