Images in Clinical Medicine
Kim Eagle, M.D., Editor
Intraventricular Rupture of a Cerebral Abscess
N Engl J Med 1996; 335:639August 29, 1996
- Article
Figure 1 Cerebral imaging studies were performed in a 53-year-old man with a one-week history of headache, ataxia, and disorientation that culminated in right hemiparesis and coma. He had a remote history of dental abscesses. Magnetic resonance imaging with gadolinium enhancement (Panel A) shows a left frontal lesion (arrow) in communication with the left lateral ventricle. Purulent material containing Streptococcus anginosus was obtained by ventriculostomy, and both intrathecal and intravenous antibiotics were given. A contrast-enhanced computed tomographic scan obtained after four weeks of treatment (Panel B) shows loculation of the left lateral ventricle (arrowheads) and transependymal edema (arrows). The patient later required bifrontal ventriculoperitoneal shunts but recovered with only mild cognitive deficits.
Kim Eagle, M.D.
David M. McKalip, M.D.
Steven K. Gudeman, M.D.
University of North Carolina at Chapel Hill, Chapel Hill, NC 27599- Citing Articles (1)
Citing Articles
1
Johnathan A. Engh, Arlan Mintz, Amin B. Kassam. (2008) Diffusion-weighted magnetic resonance imaging demonstrating intraventricular rupture of a cerebral abscess and subsequent therapeutic response. Surgical Neurology 70:5, 526-530
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