Simultaneous bilateral pallidoansotomy for idiopathic dystonia musculorum deformans |
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Authors: | RP Iacono SM Kuniyoshi RR Lonser G Maeda AM Inae S Ashwal |
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Affiliation: | Neurosurgical Clinic, Justus-Liebig University Giessen, Germany. |
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Abstract: | Affection of the CNS by actinomycosis is a rare but treatable manifestation of an infection with actinomyces israeli. Neurological involvement includes a meningeal, granulomatous and also pseudotumoral form. We report the case of a patient suffering from an intracerebral actinomycosis abscess. The source of infection was the upper jaw. After a right frontal craniotomy the intracerebral abscess was removed. Postoperatively the patient received initially a combined antiedemateous and antibiotic therapy with 12 mg dexamethasone and 6 g cefotaxime and 3 g amoxicilline. After 4 weeks of treatment with improving neurological deficits dexamthasone therapy was reduced followed by an exclusive antibiotic therapy for another 4 weeks. During this time the patient recovered completely. |
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