Luongo Marianna
Marianna Luongo, Department of Neurosurgery, San Carlo Hospital, 85100 Potenza, Italy.
World J Clin Cases. 2017 Jul 16;5(7):299-302. doi: 10.12998/wjcc.v5.i7.299.
Cerebral abscess is a potentially fatal neurosurgical condition, despite improvements in technology, new antimicrobial agents and modern neurosurgical instruments and techniques. I report the case of a 64-year-old woman, affected by a right frontobasal brain abscess, compressing the homolateral frontal horn of lateral ventricle, with a second mass partially occupying the right orbital cavity. She presented also with inflammatory sinusopathy involving the right maxillary, ethmoid and frontal sinuses. After 14 d of clinical observation and antimicrobial therapy, the patient received a computed tomography scan, which showed growth of the cerebral mass, with a ring of peripheral contrast enhancement and surrounding edema. She promptly underwent neurosurgical treatment and recovered well, except for the sight in her right eye, which remained compromised, as before the operation. This is believed to be the first case of cryptogenic cerebral abscess caused by isolated from the brain, with more than 1-year follow-up.
尽管在技术、新型抗菌药物以及现代神经外科器械和技术方面有所进步，但脑脓肿仍是一种具有潜在致命性的神经外科疾病。我报告一例64岁女性病例，她患有右侧额底部脑脓肿，压迫同侧侧脑室额角，并有第二个肿块部分占据右侧眶腔。她还患有累及右侧上颌窦、筛窦和额窦的炎性鼻窦病。经过14天的临床观察和抗菌治疗后，患者接受了计算机断层扫描，结果显示脑肿块增大，有外周强化环和周围水肿。她随即接受了神经外科治疗，恢复良好，但右眼视力如术前一样仍受损害。据信这是首例从脑部分离出 导致的隐源性脑脓肿病例，并进行了超过1年的随访。 （注：原文中“isolated from the brain, with more than 1-year follow-up.”部分“isolated from the brain”前似乎缺失关键信息，翻译时只能按现有内容尽量准确翻译）
