Pyogenic brain abscess managed by repeated elective aspiration.

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1999-09-09
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37 cases of capsular stage of brain abscess based upon CT scan staging were treated by repeated elective aspiration through a burr hole and intracavitary application of antibiotics on alternate days, till two consecutive negative aspirations were obtained. A combination of furosemide and antibiotics in multiple doses were also given. The mortality rate was 2.7% and the morbidity rate 8.3%. Corticosteroids were not used in the management of brain abscess. Thus, repeated elective aspiration was found to be an effective mode of surgical management of brain abscess.
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Srinivasan US, Gajendran R, Joseph MJ. Pyogenic brain abscess managed by repeated elective aspiration. Neurology India. 1999 Sep; 47(3): 202-5
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