Puncture / excision of an intra-parenchymal or epidural abscess

Brain abscess is an intraparenchymal bacterial proliferation of the brain. It constitutes the major differential diagnosis of intracranial tumors, in particular high-grade gliomas and metastases. the treatment will consist of a puncture by stereotaxic method or sometimes even open to evacuation of the abscess and typing of the germ before initiation of antibiotic therapy. Evacuation may sometimes be necessary due to a clinically poorly tolerated mass effect, and / or poor accessibility to antibiotics. -An epidural abscess is a buildup of pus in the epidural space that can mechanically compress the spinal cord. The diagnosis is made by MRI or, in the event of unavailability, by myelography followed by CT. Treatment includes antibiotics and sometimes drainage of the abscess.