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J Cerebrovasc Endovasc Neurosurg. 2018 20(3): 198-203
The Journal of Cerebrovascular and Endovascular Neurosurgery
Brain Abscess Transformation in a Non-Operated Spontaneous Intracerebral Hemorrhage
Byeong Oh Kim, Kum Whang, Sung Min Cho, Ji Woong Oh, Youn Moo Koo, Jong Wook Choi, Jong Yeon Kim
Department of Neurosurgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea

Brain abscess is a rare but potentially fatal neurological condition that occurs after a complication in immunocompromised patients or brain surgery. Although this complication occurs after surgery for intracerebral hemorrhage (ICH), it rarely occurs in untreated ICH. Here, we report on a 46-year-old female patient with a history of brain abscess at 6 weeks after spontaneous ICH without previous episodes of infection or surgery. If headaches and neurological deficits are present after episodes of fever, abscess formation should be considered. Neurosurgical imaging, microbiological identification, and early identification of infectious biomarkers and causative pathogens are important indicators for surgical drainage or resection and treatment with appropriate antibiotics. In fact, rapid diagnosis and treatment do ensure good outcomes and long-term survival; however, in cases of misdiagnosis, morbidity rates are very high.
Key words : Brain abscess, Cerebral hemorrhage

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