Radiansyah Riva Satya, Sugianto Paulus, Cecilia Cindy
Department of Neurology, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Ann Med Surg (Lond). 2022 Jun 16;79:104001. doi: 10.1016/j.amsu.2022.104001. eCollection 2022 Jul.
Cerebellar abscess is rare, and these two case reports are examined to consider alternative therapy.
We present two cases of patients with cerebellar abscess. In both cases, patients had the same initial symptoms of fever and central vertigo, with otitis media as the source of infection. However, one patient had generalized onset of tonic-clonic seizure. Both patients were given the same regimen of antibiotics for six weeks and then, evaluated on a clinical and radiological basis via computed tomography (CT) and magnetic resonance imaging (MRI). Sixth weeks after treatment was initiated, No. abscesses were detected in either patient; clinically, there were no complaints or neurological deficits.
There are several therapeutic management options in cases of cerebellar abscess. With conservative management (e.g., administering symptomatic drugs and antibiotics), patients can recover completely.
Management of patients with cerebellar abscess is very challenging, but adequate therapy and appropriate prevention of complications can help reduce morbidity and mortality.
小脑脓肿较为罕见,本文通过这两例病例报告来探讨其他治疗方法。
我们呈现两例小脑脓肿患者。两例患者最初均有发热和中枢性眩晕症状,感染源均为中耳炎。然而,其中一名患者出现全身性强直阵挛发作。两名患者均接受了为期六周的相同抗生素治疗方案,随后通过计算机断层扫描(CT)和磁共振成像(MRI)进行临床和影像学评估。治疗开始六周后,两名患者均未检测到脓肿;临床上,患者无不适主诉或神经功能缺损。
小脑脓肿病例有多种治疗管理选择。采用保守治疗(如使用对症药物和抗生素),患者可完全康复。
小脑脓肿患者的管理极具挑战性,但适当的治疗和对并发症的恰当预防有助于降低发病率和死亡率。