خراج الدماغ التالي للجراحة العصبية عندما لا يحقق العلاج الأولي الاستجابة المتوقعة

References

DOI: 10.1016/j.cmi.2023.08.016

We conditionally recommend meropenem combined with vancomycin or linezolid for empirical treatment of post-neurosurgical brain abscess (Table 4) (conditional recommendation and very low certainty of evidence).

Repeated neurosurgical aspiration, or in selected cases excision, should be carried out in case of clinical deterioration or enlargement of brain abscess, and is almost always required in those without any reduction in brain abscess volume by 4 weeks after first aspiration (good clinical practice statement).