Surgical neurology international · 2025
Endoscopic endonasal drainage of a foreign body-associated brain abscess.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Falcón Molina Jesús Eduardo, Lozano Guzmán Isauro, Chavez Herrera Victor Ramzes, Ichikawa Escamilla Eduardo, Pérez Elizondo Nelmy Lourdes, Suárez Ramírez Emanuel Alejandro, Haiat Salomón Waizel, Guinto-Nishimura Gerardo Yoshiaki
Аннотация
BACKGROUND: Although brain abscesses (BA) are uncommon, they represent a significant clinical challenge due to their potential for high morbidity and mortality. When combined with the presence of foreign bodies (FB), such as those resulting from penetrating craniofacial trauma, the management of BA becomes even more complex. Although craniotomy is the most frequent route described for resolution, endoscopic approaches for BA drainage or FB removal have not been widely documented.
CASE DESCRIPTION: A 29-year-old female with the antecedent of an assault two months before her referral to our hospital underwent cranial computed tomography (CT) and magnetic resonance imaging (MRI) revealing a penetrating FB through the left maxillary sinus to the anterior skull base associated with a left frontal abscess. The patient underwent a combined endonasal endoscopic and sublabial transmaxillary approach for FB extraction and navigation-guided abscess drainage using needle aspiration. A multilayer technique was employed for anterior skull base repair. The patient received an antibiotic scheme for six weeks and recovered without any neurological deficit. The control MRI showed complete resolution of BA.
CONCLUSION: Coexisting BA and penetrating FB represent a challenge for neurosurgical management. When indicated, endoscopic endonasal surgery is a useful tool for FB extraction and allows the resolution of associated complications, such as drainage of a BA.
CASE DESCRIPTION: A 29-year-old female with the antecedent of an assault two months before her referral to our hospital underwent cranial computed tomography (CT) and magnetic resonance imaging (MRI) revealing a penetrating FB through the left maxillary sinus to the anterior skull base associated with a left frontal abscess. The patient underwent a combined endonasal endoscopic and sublabial transmaxillary approach for FB extraction and navigation-guided abscess drainage using needle aspiration. A multilayer technique was employed for anterior skull base repair. The patient received an antibiotic scheme for six weeks and recovered without any neurological deficit. The control MRI showed complete resolution of BA.
CONCLUSION: Coexisting BA and penetrating FB represent a challenge for neurosurgical management. When indicated, endoscopic endonasal surgery is a useful tool for FB extraction and allows the resolution of associated complications, such as drainage of a BA.