Young R F, Frazee J
Ann Neurol. 1984 Jul;16(1):35-9. doi: 10.1002/ana.410160108.
Five patients were treated in whom gas within an intracranial abscess cavity was identified by plain roentgenogram, computed tomographic scan, or both. Management by aspiration in three patients was unsuccessful. Total excision of the abscess cavity was eventually required in all five patients, and a persistent extracranial communication was identified and closed in each. One patient died secondary to transtentorial herniation and severe brainstem injury; the other four recovered fully. Although certain anaerobic organisms may produce gas in the absence of a communication to the outside of the body, such production is uncommon. Total surgical excision is recommended for gas-containing abscesses because it allows removal of the mass lesion and identification and closure of possible persistent extracorporal communication.
五名患者接受了治疗，通过普通X线片、计算机断层扫描或两者均发现其颅内脓肿腔内有气体。三名患者通过抽吸治疗未成功。所有五名患者最终均需要进行脓肿腔全切术，并且在每例患者中均发现并封闭了持续存在的颅外通道。一名患者因小脑幕切迹疝和严重脑干损伤继发死亡；其他四名患者完全康复。尽管某些厌氧菌在与体外无相通的情况下可能产生气体，但这种情况并不常见。对于含气脓肿，建议进行手术全切，因为这样可以切除占位性病变，并识别和封闭可能持续存在的体外通道。
