Evidence map›Paper›PMID 40656494›Full record

ArticleSurgical neurology international2025

Endoscopic endonasal drainage of a foreign body-associated brain abscess.

Jesús Eduardo Falcón Molina, Isauro Lozano Guzmán, Victor Ramzes Chavez Herrera, Eduardo Ichikawa Escamilla, Nelmy Lourdes Pérez Elizondo, Emanuel Alejandro Suárez Ramírez, Salomón Waizel Haiat, Gerardo Yoshiaki Guinto-Nishimura

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In one paragraph

Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jesús Eduardo Falcón MolinaDepartment of Neurosurgery, Specialties Hospital of the 21st Century National Medical Center, Mexican Institute for Social Security, Mexico City, Mexico.
Isauro Lozano GuzmánDepartment of Neurosurgery, Specialties Hospital of the 21st Century National Medical Center, Mexican Institute for Social Security, Mexico City, Mexico.
Victor Ramzes Chavez HerreraDepartment of Neurosurgery, Specialties Hospital of the 21st Century National Medical Center, Mexican Institute for Social Security, Mexico City, Mexico.
Eduardo Ichikawa EscamillaDepartment of Neurosurgery, Specialties Hospital of the 21st Century National Medical Center, Mexican Institute for Social Security, Mexico City, Mexico.
Nelmy Lourdes Pérez ElizondoDepartment of Neurosurgery, Specialties Hospital of the 21st Century National Medical Center, Mexican Institute for Social Security, Mexico City, Mexico.
Emanuel Alejandro Suárez RamírezDepartment of Neurosurgery, Specialties Hospital of the 21st Century National Medical Center, Mexican Institute for Social Security, Mexico City, Mexico.
Salomón Waizel HaiatDepartment of Otorhinolaryngology, Specialties Hospital of the 21st Century National Medical Center, Mexican Institute for Social Security, Mexico City, Mexico.
Gerardo Yoshiaki Guinto-NishimuraDepartment of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although brain abscesses (BA) are uncommon, they represent a significant clinical challenge due to their potential for high morbidity and mortality. When combined with the presence of foreign bodies (FB), such as those resulting from penetrating craniofacial trauma, the management of BA becomes even more complex. Although craniotomy is the most frequent route described for resolution, endoscopic approaches for BA drainage or FB removal have not been widely documented. Case Description: A 29-year-old female with the antecedent of an assault two months before her referral to our hospital underwent cranial computed tomography (CT) and magnetic resonance imaging (MRI) revealing a penetrating FB through the left maxillary sinus to the anterior skull base associated with a left frontal abscess. The patient underwent a combined endonasal endoscopic and sublabial transmaxillary approach for FB extraction and navigation-guided abscess drainage using needle aspiration. A multilayer technique was employed for anterior skull base repair. The patient received an antibiotic scheme for six weeks and recovered without any neurological deficit. The control MRI showed complete resolution of BA. Conclusion: Coexisting BA and penetrating FB represent a challenge for neurosurgical management. When indicated, endoscopic endonasal surgery is a useful tool for FB extraction and allows the resolution of associated complications, such as drainage of a BA.

Indexed as

Brain abscessEndonasal endoscopicForeign bodySublabial transmaxillary

Identifiers

PMID40656494
PMCPMC12255199

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