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Titlebook: Atlas of Infections in Neurosurgery and Spinal Surgery; Ali Akhaddar Book 2017 Springer International Publishing AG 2017 Craniocerebral In

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Laboratory Collections and Sample Processingt be useful to detect organisms that are difficult or slow to grow by culture. The results of antimicrobial susceptibility testing should be combined with clinical and neuroimaging information, experience, and local epidemiological data when selecting the most appropriate anti-infectious drugs for t
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Cranial Subdural Empyemas obligatory as soon as it is diagnosed. Eradication of primary infected foci should not be missed. Subdural empyema is more fulminant and fatal than epidural abscess. Persistent seizures and residual hemiparesis are the most important sequelae. Mortality may result from associated venous infarction
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Posttraumatic Meningitise and bacterial sensitivity results. Management of persistent traumatic CSF leak requires conservative measures, spinal drainage, and even surgical repair (open intracranial surgery or an endoscopic procedure) using multilayer closure. If treated promptly and vigorously, traumatic meningitis may res
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Brain Abscessesvery is predictable for many patients, and the mortality rate is increasingly low, but the prognosis depends on the patient’s general health; the number, size, and location of the suppurative collections; the delay in diagnosis; and the response to therapy.
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Pyogenic Ventriculitis show a low glucose level, high protein, and pleocytosis. Isolation of the pathogenic agent and culture are essential in determining the antimicrobial therapy. When ventriculitis is unresponsive to intravenous antibiotics or if neurologic status is considered perilous, intrathecal antibiotic drugs c
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Paraspinal Pyomyositisform and prompt surgical drainage when a suppurative collection arises. If treated adequately, most patients heal without recurrences or additional complications. Delay in diagnosis may result in osteomyelitis of adjacent spinal and pelvic bones, spinal epidural abscess, retroperitoneal abscess, met
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https://doi.org/10.1007/978-3-540-34533-6 but the diagnosis of pituitary abscess is often missed prior to surgery. Adapted antibiotic therapy, complete transsphenoidal surgical drainage, and hormone replacement for hypopituitarism are the keys to treatment. Symptoms due to mass effect improve after drainage, but hypopituitarism often persists and recurrence is not rare.
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