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KMID : 0359819950240040414
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 4 p.414 ~ p.421
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Sterotactic Aspiration for the Treatment of Brain Abscess
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이호연
김창진/권양/임승철/이정교/권병덕/황충진
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Abstract
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Twelve cases of brain abscess treated in Asan medical center during the recent 3 years from June, 1989 to December, 1992 were reviewed. The paints consisted of 6 males and 6 females. The metastatic abscess (hematogenous spread) constituted the
largest
group (58%). and most of them had been suffering from systemic medical disease. Headache was by far the most common symptom and the parital lobe was by far the most common symptom and the parietal lobe was the most common site. Fourteen
operations
in 12
patients consisted of 9 stereotactic aspirations (including 2 reoperation cases). 2 exisions. 2 ultrasono-guided aspirations, and one free-hand aspiration. Among these procedures. 12 aspirations yielded complete resolution in 9 cases (including
second
aspiration for another lesion in 1 patient), 1 persistent abscess requiring reoperation. and 1 mortality. The stereotactic aspiration of the brain abscess provided a surgical solution with relatively low risk in the poor candidate for receiving
general
anesthesia. in multiple lesions. and in lesions of deep or eloquent area.
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