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Journal of Neurosurgical Sciences 2011 December;55(4):383-5

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Staphylococcus aureus brainstem abscess in a Brazilian Amazon man. Case reportn

De Nazareth Hermes M. Jr. 1, Rodrigues Pereira E. L. 1, Castro Ribeiro D. E. 1, Da Silva Mello G. 2, Hartuique Rodrigues D. C. 2, Crociati Meguins L. 2, Toyoki Motoki Teixeira V. H. 2, De Souza Rogério J. 1

1 Department of Neurosurgery, Hospital Ophir Loyola, Belém, Pará, Brazil; 2 Faculty of Medicine, Institute of Health Sciences, Pará Federal University, Belém, Pará, Brazil


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The brainstem is an uncommon site for a brain abscess. It accounts for less than 4% of all posterior cranial fossa abscesses, and less than 1% of all intracranial abscesses. The pons is the most common site for these abscesses. The aim of the present report was to describe the case of a Brazilian Amazon man with a brainstem abscess (BSA) managed with combined surgical drainage and systemic antibiotic therapy. This case reinforces the importance of an early suspicion of BSA in patients with unexplained fever and neurologic deficits, especially sixth and seventh cranial nerve lesions, to minimize permanent damage.

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