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Stereotactic drainage of abscess

Brain abscess require excision whenever feasible. Abscess located in eloquent areas or in deep seated areas as thalamus , basal ganglia can be drained using stereotactic system.
This is MRI of 65 year old lady with rapidly progressive right sided hemiparesis. She underwent stereotactic aspiration of 30 cc pus. Microbiological analysis of the pus was suggestive of fungal brain abscess.
Aids used: CRW stereotactic frame, Framelink planning software, Nashold Biopsy Needle, Neuro-navigation CT / MRI fusion software

Pre-op MRI- left posterior frontal abscess

Post op CT with adequate evacuation of abscess

Stereotactic drainage of abscess

Patient with frame fixed