Stereotaxic surgery in the treatment of XXXX .

@entity1 @entity1269 @entity302 @entity204 @entity867
Controversy exists regarding the optimal treatment for @entity1 with @entity867 . These lesions are often small and located deep in the brain and close to vital structures, making surgery difficult. With this in mind the authors review their experience in treating multiple abscesses using computerized tomography (CT)-guided stereotaxic aspiration. From 1983 to 1985, 15 @entity1 were treated for @entity867 , of whom eight underwent stereotaxic aspiration. There were a total of 28 abscesses in these eight @entity1 : 11 abscesses were aspirated and two excised using CT-guided techniques. Most were cortical in location, although there were 12 in the deep white matter, one in the thalamus, and two in the caudate nucleus. All @entity1 received a total of 6 weeks of antibiotic therapy. Follow-up CT showed resolution of the abscesses in all @entity1 . Currently, four are neurologically normal, one has a mild @entity1269 , one has a well-controlled @entity302 , and one requires supportive care. A single @entity204 occurred 5 weeks postoperatively of unrelated causes. Location, size, and age of an abscess all have bearing upon the response to management and outcome of the @entity1 . Stereotaxic surgery is a procedure with minimal morbidity and mortality. Stereotaxic aspiration should be considered in @entity1 with small, multiple, or deep-seated abscesses, in those who are poor operative candidates, and in those who have failed prior therapy.
