{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T18:27:30Z","timestamp":1784744850248,"version":"3.55.0"},"reference-count":26,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Brainstem abscess is a rare condition with a variety of treatment approaches. In this paper, we report an unusual case of a brainstem abscess with a positive outcome in an immunocompetent patient who was treated with antibiotic therapy.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 22-year-old female presented with bilateral tetraparesis that was worse on the left hemibody, appendicular tremor, and left upper eyelid ptosis. Brain magnetic resonance imaging showed an abscess in the pons and midbrain due to possible nocardiosis. She was treated with dexamethasone, phenytoin, vancomycin, and meropenem for 8 weeks and trimethoprim-sulfamethoxazole for 6 weeks. The brain injury decreased, and the patient\u2019s neurological status significantly improved.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Brainstem abscess may be treated conservatively, leading to improvement of the clinical condition and decreased lesion size on imaging.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_569_2019","type":"journal-article","created":{"date-parts":[[2020,7,25]],"date-time":"2020-07-25T05:46:44Z","timestamp":1595656004000},"page":"205","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Brainstem abscess treated conservatively"],"prefix":"10.25259","volume":"11","author":[{"given":"Camila Furtado","family":"Leao","sequence":"first","affiliation":[{"name":"Department of Medicine, State University of Para,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maira Piani","family":"Couto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Ophir Loyola Hospital,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Antonio Santos de","family":"Lima","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Ophir Loyola Hospital,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Homero Albuquerque","family":"Paschoal","sequence":"additional","affiliation":[{"name":"Federal University of Para, Belem, Para, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Reginaldo Nascimento","family":"Brito","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Ophir Loyola Hospital,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2020,7,25]]},"reference":[{"key":"10.25259\/SNI_569_2019\/ref-1","doi-asserted-by":"crossref","first-page":"e00422","DOI":"10.1016\/j.idcr.2018.e00422","article-title":"Nocardia paucivorans brain abscess. 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