Treatment of Bacterial Brain Abscess by Repeated Aspiration : Follow up by Serial Computed Tomography
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概要
- 論文の詳細を見る
Bacterial brain abscess often requires repeated aspiration before the abscess finally resolves.However, there are no guidelines for treatment by aspiration;for example, when should the abscess be tapped again, or when can an abscess be treated by antibiotics alone without further aspiration.Eleven patients with bacterial brain abscess treated by aspiration were evaluated to establish treatment guidelines for brain abscess, in particular the abscess size on serial computed tomography(CT)after aspiration.CT was performed about 24 hours after aspiration to evaluate the size of the abscess, and almost weekly during follow up.The diameter of the brain abscess before and after the initial and last aspirations were reviewed.In eight of the 11 patients, abscesses were aspirated repeatedly:two to three times in most patients.The diameter of the abscesses was 2.5-4.5 cm(mean 3.5 cm)before the last aspiration, and 1.4-3.4 cm(mean 2.3 cm)after the last aspiration, or when continuous drainage was discontinued.Perifocal edema was moderately decreased within 3 weeks after the last aspiration by medical treatment alone, with a concomitant decrease in the volume of the abscess.There were no deaths, and most patients had a favorable outcome.These results suggest that after the diameter of the abscess becomes less than 2 to 3 cm and does not increase anymore on serial CT, medical treatment alone can be anticipated to give satisfactory results without further aspiration.
- 日本脳神経外科学会の論文
- 2000-02-15
著者
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Fukushima Takeo
Departments of Neurosurgery, Faculty of Medicine, Fukuoka University
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山本 正昭
熊本セントラル病院 脳神経外科
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Kimura Hideo
Department of Cardiovascular Medicine, Okayama University
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Fukushima Takeo
Department Of Neurosurgery Fukuoka University Faculty Of Medicine
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HIRAKAWA Katsuyuki
Department of Neurosurgery, Fukuoka University, Faculty of Medicine
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YAMAMOTO Masaaki
Department of Neurosurgery, Fukuoka University School of Medicine
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TOMONAGA Masamichi
Department of Neurosurgery, Fukuoka University School of Medicine
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Hirakawa Katsuyuki
Department Of Neurosurgery Fukuoka University Faculty Of Medicine
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Hirakawa Katsuyuki
Department Of Neurosurgery And Department Of Pathology Shizuoka General Hospital
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Tomonaga Masamichi
Department Of Neurosurgery Faculty Of Medicine Fukuoka University
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Tomonaga Masamichi
Department Of Neurosurgery Fukuoka University School Of Medicine
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Kimura Hideo
Department Of Cardiology National Hospital Organization Okayama Medical Center
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山本 正昭
福岡大学 医学部脳神経外科
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Yamamoto Masaaki
Department Of Neurosurgery Fukuoka University School Of Medicine
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Fukushima Takeo
Department Of Neurosurgery Fukuoka University
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Kimura Hideo
Department Of Neurosurgery Fukuoka University School Of Medicine
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Yamamoto Masaaki
Department Of Medicine Institute Of Clinical Endocrinology Tokyo Women's Medical University
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Fukushima Takeo
Department Of Neurosurgery Faculty Of Medicine Fukuoka University
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Yamamoto Masaaki
Department Of Dermatology Hyogo College Of Medicine
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Yamamoto Masaaki
Department of Chemistry, Faculty of Science, Kanazawa University
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