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Chinese Neurosurgical Journal

, 2:26

First Online: 18 August 2016Received: 30 October 2015Accepted: 21 July 2016


BackgroundNocardial brain abscesses are associated with significant morbidity and mortality rates. The optimal management remains unclear.

Case presentationWe report a case of 49-year-old woman presented with dizziness, progressive headache for 3 days, accompanied with left arm twitched for twice. The patient underwent a right parietal craniotomy for resection of the lesion. Gross total resection of the lesion was achieved. There were no new neurological deficits post-operatively, and no lesions was demonstrated on Gd-enhanced MRI images at six months follow-up.

ConclusionsAfter review of the literature and experience learned from our case, we suggest that craniotomy and surgical resection of the lesions, instead of aspiration, is a safe, efficacious treatment for the patient with nocardial brain abscesses. Long-term chemotherapy and follow-up is mandatory in all cases.

KeywordsBrain abscess nocardiosis Surgical treatment Magnetic resonance imaging AbbreviationsADCapparent diffusion coefficient

CTcomputed tomography

DWIDiffusion weighted imaging

FLAIRfluid attenuated inversion recovery

MRImagnetic resonance imaging

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Autor: Yinian Zhang - Wei Zhu - Qiao li - Boru Hou - Yanfei Jia - Naili Wei - Yawen Pan


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