Cerebral abscess

Case contributed by Dr Ian Bickle


Young overseas worker, with altered cognition.The patient was apyrexic and been 'off color' for a couple of weeks.

Patient Data

Age: 30 years old
Gender: Male

Large thick walled ring enhancing right frontal lobe mass with avid internal diffusion restriction and marked perilesional edema, with resultant effacement and displacement of the lateral ventricle.

Case Discussion

Cerebral abscess is one of a number of differential for a ring enhancing lesion in the brain.

The avid diffusion restriction makes an abscess highly likely, despite this patient had no fever or raised WCC. The immune response may be suppressed.

MR spectroscopy could have been performed to add further weight to the diagnosis.

Neurosurgery was performed. The final microbiological analysis identified the causative organism as Staphylococcus aureus.

PlayAdd to Share

Case information

rID: 24212
Published: 31st Jul 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.