Ohaegbulam S C, Saddeqi N U
Surg Neurol. 1980 Apr;13(4):289-91.
No deaths have occurred in 15 consecutive cases of intraparenchymatous brain abscesses in Nigerian patients who were treated by aspiration, systemic antibiotics, dexamethasone and anticonvulsants. Four patients had persistent convulsions which responded well to drug therapy and two patients had hemiparesis but were able to return to their jobs. The simplicity of this method of treatment and the results, achieved without the benefit of computerised tomographic scan, raise the question as to whether the recent trend towards excision of brain abscess is justifiable.
在接受穿刺抽吸、全身使用抗生素、地塞米松和抗惊厥药物治疗的尼日利亚脑实质内脑脓肿患者中，连续15例均未发生死亡。4例患者有持续性惊厥，药物治疗效果良好，2例患者有偏瘫，但能够重返工作岗位。这种治疗方法简单且在未借助计算机断层扫描的情况下取得了这样的结果，这引发了一个问题，即近期脑脓肿切除的趋势是否合理。
