Nonsurgical resolution of a brain-stem abscess

Case report

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✓ A case of solitary mesencephalic abscess in a 13-year-old boy is presented. The computerized tomography and clinical pictures, indicating a Weber syndrome and obstructive hydrocephalus, resolved totally 20 days after implantation of a ventriculoatrial shunt and treatment with intravenous chloramphenicol and penicillin. This is the fifth reported case of survival in a patient with a brain-stem abscess, and the first in which this outcome has been achieved without surgical drainage of the abscess.

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Address reprint requests to: Jesús Vaquero Crespo, M.D., Servicio de Neurocirugía, Clínica Puerta de Hierro, San Martin de Porres, 4, Madrid-35, Spain.
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