Cerebellar abscess treatment [Neurosurgery Wiki]

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====== Cerebellar abscess treatment ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1D5wW7WguI-DxrwaFOBfKdWY5i0t5Ip2bdiIf9s_4TodKDckXc/?limit=15&utm_campaign=pubmed-2&fc=20230116151937}}


see also [[Intracranial abscess treatment]].
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Because of the inconspicuous clinical presentation, and the probability of a fatal evolution, suspicion is essential for a proper diagnosis and suitable treatment
((Abir M, Amal G, Mouna B, Malika O, Habiba BS, Jihen H, Wassim K, Mohamed A. Clinical features of otogenic cerebral sinovenous thrombosis: Our experience and review of literature. Clin Case Rep. 2022 Oct 22;10(10):e6475. doi: 10.1002/ccr3.6475. PMID: 36285027; PMCID: PMC9587508.)).


===== Surgery =====

Large abscesses with significant edema are the best candidates for emergent surgical evacuation
((Yilmaz Tehli G, Kirmizigoz S, Durmaz MO, Ezgu MC, Tehli O. Risk Factors and Surgical Treatment Options for Intracranial Infections. Turk Neurosurg. 2022 Oct 22. doi: 10.5137/1019-5149.JTN.40387-22.4. Epub ahead of print. PMID: 36482857.))


In a literature review, different clinical approaches were found among health centers. In one of them, it was claimed that in the treatment of cerebellar abscess, the abscess should first be drained, and then ear surgery should be performed after the clinical state of the patient improves
((Dubey SP, Larawin V. Complications of chronic suppurative otitis media and
their management. Laryngoscope. 2007 Feb;117(2):264-7. PubMed PMID: 17277619.
)).