Gelabert González M, García Allut A, Prieto González A, Bollar Zabala A, Martínez Rumbo R
Servicio de Neurocirugía, Hospital General de Galicia-Clínico Universitario, Santiago de Compostela.
Neurologia. 1993 Nov;8(9):317-9.
Solitary abscesses of the thalamus are an infrequent entity which carry serious problems with regard to treatment. We present a patient with an unknown septic focci who developed a right thalamic abscess due to Streptococcus constellatus and was treated by stereotaxic drainage for the suppuration and antibiotics. The patient was clinically and radiologically (CAT) controlled up until total cure of the lesion. Complications included dissemination of the infection to the meningeal space and a residual coreic picture controlled with tetrabenzine. The authors believe that evacuation by stereotaxic punction should be included among the therapeutic options available for deeply localized cerebral abscesses.
丘脑孤立性脓肿是一种罕见的疾病,在治疗方面存在严重问题。我们报告一例患者,其感染源不明,因星座链球菌感染形成右侧丘脑脓肿,接受了立体定向引流排脓及抗生素治疗。对该患者进行了临床及放射学(计算机断层扫描)监测,直至病变完全治愈。并发症包括感染扩散至脑膜间隙以及使用丁苯那嗪控制残留的核间性眼肌麻痹症状。作者认为,立体定向穿刺引流应纳入深部局限性脑脓肿的可用治疗方案之中。