Role of stereotactic aspiration in the management of tuberculous brain abscess

BACKGROUND Intracranial tuberculous abscesses are uncommon clinical entities, even in countries where tuberculosis is endemic. Surgical excision and antitubercul ous treatment is the treatment of choice. The role of stereotactic aspirati on in the management of these lesions is highlighted in this communication. METHODS Three patients, all receiving treatment for pulmonary tuberculosis, present ed with symptoms of raised intracranial pressure and neurological deficits. Computed tomography (CT) scans revealed cystic lesions with enhancing rim in the thalamus in two patients and multiple coalescing cystic lesions in t he deep temporal region in another. RESULTS Stereotactic aspiration of the cyst and biopsy of the cyst wall were perfor med in all. In two, the pus revealed acid fast bacilli (AFB). In another, t hough the pus did not reveal any AFB, the wall showed tuberculous granuloma . Antituberculous treatment was continued in all the patients. Follow-up CT revealed resolution of the lesions in all patients. CONCLUSION Stereotactic aspiration is an useful alternative modality of management of tuberculous abscesses in a selected group of patients. (C) 1999 by Elsevier Science Inc.