J Korean Neurosurg Soc.  1996 Oct;25(10):2127-2130.

A Case of Thalamic Abscess: Case Report

Affiliations
  • 1Department of Neurosurgery, Soonchunhyang University, Chonan Hospital, Chonan, Korea.

Abstract

The authors report a rare case of thalamic abscess in a 38-year old male who suffered from a ventricular septal defect. Preoperative axial magnetic resonance imaging(MRI) showed two ring enhancing masses on T1-weighted image and a hypointensity of dark rim on T2-weighted image. Purulent material was aspirated by computerized tomography(CT)-guided stereotactic procedure following antibiotic therapy for 3 days. No growth was obtained in the culture of the purulent material. The disturbance of left ocular movement before surgery was completely recovered. Even though the abscess wall is uniform in thickness, it is difficult to distinguish from tumor. A rim like hypointensity surrounding the mass on T2-weighted MRI is helpful in distinguishing both lesions.

Keyword

Thalamic abscess; Stereotactic aspiration; Ventricular septal defect; Magnetic resonance image

MeSH Terms

Abscess*
Adult
Heart Septal Defects, Ventricular
Humans
Magnetic Resonance Imaging
Male
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