Treatment of brain abscess rupturing into ventricle: a case report and literature review - Summary - MDSpire
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Management of Ventricular Rupture Due to Brain Abscess: A Case Study and Review of Existing Literature

  • By

  • Xiaolin Zhang

  • Xia Yang

  • Junan Hu

  • Wenjing Zhang

  • Wei Shen

  • June 5, 2026

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Objective:

To report a case of brain abscess rupture leading to ventriculitis and review existing literature.

Key Findings:
  • The incidence of brain abscess rupture into ventricles is 0.3%–35.0%, with a mortality rate of 84.0%–100.0%.
  • Metagenomic next-generation sequencing is effective for identifying pathogens in brain abscess cases.
  • The study noted that early surgical intervention significantly improves outcomes in patients with ruptured brain abscesses.
  • Patients presenting with neurological deficits had a higher risk of complications and poorer prognosis.
Interpretation:

The case highlights the importance of early diagnosis and comprehensive treatment strategies in managing brain abscess complications. It underscores the role of advanced diagnostic techniques in guiding effective treatment.

Limitations:
  • The study is based on a single case report, limiting generalizability.
  • Variability in clinical presentation and pathogen profiles in different patients complicates the establishment of standardized treatment protocols.
Conclusion:

Timely intervention and appropriate antibiotic therapy can lead to recovery in patients with brain abscess complicated by ventriculitis. Further studies are needed to establish best practices for management and to explore the long-term outcomes of affected patients.

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