MRI-guided stereotatic aspiration for the treatment of deep-seated tentorial empyema: a case report
Chou, C.K.; Chung, W.Y.; Pan, H.C.; Lee, L.S.; Wang, C.R.; Ku, Y.C.; Shann, T.Y.
Zhonghua Yi Xue Za Zhi 60(3): 164-167
1997
ISSN/ISBN: 0578-1337 PMID: 9419954 Document Number: 482967
Tentorial empyema is a rare intracranial infection. In the past, most authors treated the subdural empyema by craniotomy, craniectomy or burr hole drainage. In the case presented, magnetic resonance imaging (MRI)-guided stereotatic aspiration was used to treat deep-seated extensive tentorial empyema successfully, via a simple burr hole to avoid any brain resection and retraction. This operation method is relative simple and effective for treating deep-seated intracranial empyema, significantly reduces the risk of injury to the lateral temporal lobe cortex or transection of optic radiations. On the other hand, it must be emphasized that contrast-enhanced MRI scan may offer a more sensitive and better diagnostic procedure than contrast enhanced computed tomography (CT) scan.