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This report presents the conservative treatment of a middle-aged female patient with a suspected ruptured medulla oblongata abscess. The patient reported a 7-day history of headaches and right-sided weakness. Her neurological symptoms gradually worsened, resulting in right hemiplegia, urinary retention, and swallowing difficulties. Brain magnetic resonance imaging confirmed a severe abscess in the medulla oblongata extending to the upper cervical spinal cord. After 8 weeks of antibiotic and steroid treatment, the patient demonstrated considerable improvement, and follow-up contrast-enhanced magnetic resonance imaging revealed a significant reduction in abscess size. Neurological function recovered nearly to normal, with slight right hemiplegia noted at the 6-month follow-up. These findings suggest that conservative treatment may be feasible in carefully selected patients with a suspected ruptured brainstem abscess and may result in a good outcome; however, treatment decisions should remain individualized.<\/jats:p>","DOI":"10.1177\/03000605261464278","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:52:53Z","timestamp":1784703173000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Suspected ruptured medulla oblongata abscess treated conservatively with a favorable outcome: A rare case report from Vietnam"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6130-1159","authenticated-orcid":false,"given":"Ha Thi","family":"Duong","sequence":"first","affiliation":[{"name":"Bach Mai Hospital"},{"name":"VNU University of Medicine and Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2549-3280","authenticated-orcid":false,"given":"Loi Thi","family":"Dinh","sequence":"additional","affiliation":[{"name":"Bach Mai Hospital"},{"name":"VNU University of Medicine and Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7901-1807","authenticated-orcid":false,"given":"Khoi Hong","family":"Vo","sequence":"additional","affiliation":[{"name":"Bach Mai Hospital"},{"name":"VNU University of Medicine and Pharmacy"},{"name":"Hanoi Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"118","article-title":"Widespread brainstem abscess resolved with medical therapy","volume":"22","author":"Arias M","year":"2007","unstructured":"Arias M, Dapena D, Arias-Rivas S, et al. 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