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. 

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