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Intraoperative findings showed a yellowish, malleable, and capsulated lesion that was well defined with surrounding normal tissue within pus inside and lacked any necrotic content. MR spectroscopy showed a high level of choline, lactate, and lipid peaks with a choline\/N\u2010Acetylaspartic acid ratio of 1.8. The diagnosis was confirmed histologically, and the patient was treated successfully for 3\u2009months after surgical aspiration. Surgical management allowed to confirm the diagnosis with a shorten antibiotics, a rapid resolution of symptoms, and a complete recovery.<\/jats:p>","DOI":"10.1002\/ccr3.8111","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T22:17:28Z","timestamp":1700605048000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Management strategy in actinomycosis brain abscess"],"prefix":"10.1002","volume":"11","author":[{"given":"Mohamed Dehmani","family":"Yedeas","sequence":"first","affiliation":[{"name":"Neurosurgery Department Military Hospital of Tunis  Tunis Tunisia"},{"name":"Faculty of Medicine of Tunis University of Tunis El Manar  Tunis Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Amine","family":"Rachdi","sequence":"additional","affiliation":[{"name":"Neurosurgery Department Military Hospital of Tunis  Tunis Tunisia"},{"name":"Faculty of Medicine 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