OBJECTIVE AND BACKGROUND: Stereotactic evacuation is currently accepted as a minimally invasive surgical procedure for the management of brain abscesses. Intraoperative magnetic resonance imaging (Io-MRI) is well established in neuro-oncology but its role has not been completely outlined for brain abscess surgery. The objective of this work is to analyze radiologic, clinical, and laboratory results in a cohort of patients with brain abscesses treated with an original protocol in which the minimally invasiveness of a stereotactic technique is matched with preoperative volumetric evaluation and Io-MRI. - METHODS: For each of the 12 patients included in this cohort, the following data were recorded: age, sex, location, presentation, grade of evacuation, duration of follow-up, mean preoperative and postoperative Glasgow Outcome Scale score, functional outcome, number of abscess loculations, number of Io-MRI, duration of antibiotic therapy, preoperative and postoperative laboratory findings, pathogen strains and possible recurrences. - RESULTS: The operative time was in 10/12 patients under 90 minutes. A total of 8/12 patients needed no more than 30 days of antibiotics; 9/12 patients had minor or no sequelae and returned to normal activities; only 1 recurrence of brain abscess was recorded in the sample. Only 1 death was recorded in the sample. - CONCLUSIONS: Although this work is intended to present preliminary results of an original protocol for the management of brain abscess, the role of a precise preoperative volumetric evaluation matched with Io-MRI in the treatment of this disease seems of great benefit, as in surgical neurooncology.

Preoperative volumetric assessment matched with high-field intraoperative magnetic resonance imaging-guided stereotactic evacuation of brain abscesses / Pesce, Alessandro; D'Andrea, Giancarlo; Frati, Alessandro; Wierzbicki, Venceslao; Caruso, Riccardo; Raco, Antonino. - In: WORLD NEUROSURGERY. - ISSN 1878-8750. - STAMPA. - 91:(2016), pp. 238-244. [10.1016/j.wneu.2016.03.064]

Preoperative volumetric assessment matched with high-field intraoperative magnetic resonance imaging-guided stereotactic evacuation of brain abscesses

PESCE, ALESSANDRO;D'ANDREA, GIANCARLO;FRATI, ALESSANDRO;CARUSO, Riccardo;RACO, Antonino
2016

Abstract

OBJECTIVE AND BACKGROUND: Stereotactic evacuation is currently accepted as a minimally invasive surgical procedure for the management of brain abscesses. Intraoperative magnetic resonance imaging (Io-MRI) is well established in neuro-oncology but its role has not been completely outlined for brain abscess surgery. The objective of this work is to analyze radiologic, clinical, and laboratory results in a cohort of patients with brain abscesses treated with an original protocol in which the minimally invasiveness of a stereotactic technique is matched with preoperative volumetric evaluation and Io-MRI. - METHODS: For each of the 12 patients included in this cohort, the following data were recorded: age, sex, location, presentation, grade of evacuation, duration of follow-up, mean preoperative and postoperative Glasgow Outcome Scale score, functional outcome, number of abscess loculations, number of Io-MRI, duration of antibiotic therapy, preoperative and postoperative laboratory findings, pathogen strains and possible recurrences. - RESULTS: The operative time was in 10/12 patients under 90 minutes. A total of 8/12 patients needed no more than 30 days of antibiotics; 9/12 patients had minor or no sequelae and returned to normal activities; only 1 recurrence of brain abscess was recorded in the sample. Only 1 death was recorded in the sample. - CONCLUSIONS: Although this work is intended to present preliminary results of an original protocol for the management of brain abscess, the role of a precise preoperative volumetric evaluation matched with Io-MRI in the treatment of this disease seems of great benefit, as in surgical neurooncology.
Brain abscess; cerebral infections; intraoperative MRI; short antibiotic therapy; stereotactic evacuation; neurology (clinical); surgery
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Preoperative volumetric assessment matched with high-field intraoperative magnetic resonance imaging-guided stereotactic evacuation of brain abscesses / Pesce, Alessandro; D'Andrea, Giancarlo; Frati, Alessandro; Wierzbicki, Venceslao; Caruso, Riccardo; Raco, Antonino. - In: WORLD NEUROSURGERY. - ISSN 1878-8750. - STAMPA. - 91:(2016), pp. 238-244. [10.1016/j.wneu.2016.03.064]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/895767
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