IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Cerebral abscess after posterior fossa craniectomy

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Recent posterior fossa surgery for resection of a hemangioblastoma. Now increasing headaches.

Patient Data

Age: 25 years
Gender: Male

Posterior fossa craniectomy. A peripherally enhancing lesion is present in the surgical bed with surrounding edema.

Case Discussion

Although rare, cerebral / cerebellar abscess formation is encountered following craniotomies and enhancement cannot be dismissed as post surgical change. 

This patient underwent a repeat craniotomy and drainage of the collection. He made a complete recovery. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.