Lunardi P, Acqui M, Ferrante L, Mastronardi L, Fortuna A
Department of Neurological Sciences-Neurosurgery, Rome University La Sapienza, Italy.
Neurosurg Rev. 1993;16(3):189-96. doi: 10.1007/BF00304327.
Between 1953 and 1989 eighty cases of non-traumatic brain abscess were treated in our department. We have re-examined the clinical and neuroradiological features of this pathological process and present our therapeutic approach and results. We believe that the optimal treatment for brain abscess consists of surgical removal. The prognosis for these lesions has undergone a marked improvement over the last two decades in response to neuroradiological, microbiological and surgical advances. The most influential prognostic factor seems to be preoperative clinical status.
1953年至1989年间,我科共治疗了80例非创伤性脑脓肿患者。我们重新审视了这一病理过程的临床和神经放射学特征,并介绍了我们的治疗方法和结果。我们认为,脑脓肿的最佳治疗方法是手术切除。由于神经放射学、微生物学和外科技术的进步,这些病变的预后在过去二十年中得到了显著改善。最有影响力的预后因素似乎是术前的临床状况。