Continuous Irrigation of Brain Abscess Using a Double Lumen Catheter - Technical Note -

이중 도관을 이용한 뇌농양의 지속적 세척술 - 수술 수기 -

  • Park, Jae-Hyo (Department of Neurosurgery, Uijongbu St. Mary's Hospital The Catholic University of Korea, College of Medicine) ;
  • Yoo, Do-Sung (Department of Neurosurgery, Uijongbu St. Mary's Hospital The Catholic University of Korea, College of Medicine) ;
  • Kim, Dal-Soo (Department of Neurosurgery, Uijongbu St. Mary's Hospital The Catholic University of Korea, College of Medicine) ;
  • Huh, Pil-Woo (Department of Neurosurgery, Uijongbu St. Mary's Hospital The Catholic University of Korea, College of Medicine) ;
  • Cho, Kyoung-Suok (Department of Neurosurgery, Uijongbu St. Mary's Hospital The Catholic University of Korea, College of Medicine) ;
  • Kang, Joon-Ki (Department of Neurosurgery, Uijongbu St. Mary's Hospital The Catholic University of Korea, College of Medicine)
  • 박재효 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 유도성 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 김달수 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 허필우 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 조경석 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실) ;
  • 강준기 (가톨릭대학교 의과대학 의정부성모병원 신경외과학교실)
  • Received : 2000.05.29
  • Accepted : 2000.07.12
  • Published : 2000.10.28

Abstract

We present a modified method for the treatment of brain abscess. The double lumen extraventricular drainage (EVD) catheter which was developed for the intracerebral hematoma management, was applied for the treatment of brain abscess drainage. We placed the double lumen EVD catheter into the abscess cavity by free-hand technique and irrigated the abscess cavity continuously with antibiotics solution for 7 days. Simultaneous intravenous antibiotics was administered for 4 weeks. The continuous irrigation with double lumen catheter was found to be safe and effective treatment modality in the brain abscess.

Keywords