Guided Surgery with Intraoperative Ultrasonography and Endoscopy in Multiple Occipital Brain Abscess

Abstract

Introduction: Brain abscess is a focal infection of the brain parenchyma, in which different treatment methods are used, most authors agree that conservative methods with antibiotic therapy are effective in the cerebritis phase, while in the encapsulated phases the Minimally invasive surgery is the best option. Objective: To describe the clinical, imaging and surgical characteristics in patients with multiple brain abscesses. Case Report: Male, white, 20-year-old, right-handed patient, with a history of molar infection 3 months prior, comes to the emergency department of our hospital due to intense headache and tonic-clonic seizures. widespread. Tomography and cranial resonance studies were performed, which demonstrated the presence of multiple brain abscesses that were successfully treated using an occipital approach with endoscopic support and trans-surgical ultrasonographic guidance. Discussion: In the international literature consulted, the largest number of patients with brain abscesses are treated by conservative measures, in cases in late encapsulation phases where drugs do not penetrate the capsule, surgical alternatives are the most recommended, which depend on size, location, proximity to the ventricular system and number of lesions. Conclusion: Brain abscess is a neurosurgical entity, in which surgery by minimally invasive methods associated with exact localization techniques and antibiotic therapy is the most effective treatment alternative.