{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T20:35:28Z","timestamp":1781901328187,"version":"3.54.5"},"reference-count":23,"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>Brain abscesses with associated hemorrhage are rare. Herein, we present a case of brain abscess with associated hemorrhage that posed a diagnostic challenge.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 50-year-old male presented with the left homonymous hemianopia and was admitted to our hospital due to a subcortical hemorrhage in the right occipital lobe, which was revealed during a head magnetic resonance imaging (MRI). Subsequent imaging suggested an intra-tumoral hemorrhage, so surgical treatment was planned. However, on hospital day 6, the patient suddenly showed a decrease in consciousness level. Head MRI showed a high signal within the capsule on diffusion-weighted imaging, which spread to the ventricle and subarachnoid space. Brain abscess was suspected; therefore, an abscess drainage surgery was performed emergency. The postoperative course was relatively smooth.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>A brain abscess that perforates the ventricle has a poor prognosis, which emphasizes the need for early diagnosis and treatment. Although hemorrhage within a brain abscess is rare, it can complicate diagnosis, which, thus, underscores the importance of awareness.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_669_2024","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T07:09:49Z","timestamp":1727420989000},"page":"346","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A diagnostically challenging case of brain abscess with associated hemorrhage"],"prefix":"10.25259","volume":"15","author":[{"given":"Kenichiro","family":"Eza","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gen","family":"Futamura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihide","family":"Katayama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, First Towakai Hospital, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoko","family":"Onishi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, First Towakai Hospital, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiko","family":"Wanibuchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Medical and Pharmaceutical University, Takatsuki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,9,27]]},"reference":[{"key":"10.25259\/SNI_669_2024\/ref-1","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1097\/00004728-198312000-00023","article-title":"Hemorrhage into a brain abscess","volume":"7","author":"Bach","year":"1983","journal-title":"J Comput Assist Tomogr"},{"key":"10.25259\/SNI_669_2024\/ref-2","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1097\/01376517-199702000-00002","article-title":"Multiple bilateral cerebral abscesses with hemorrhage","volume":"29","author":"Baumann","year":"1997","journal-title":"J Neurosci Nurs"},{"key":"10.25259\/SNI_669_2024\/ref-3","doi-asserted-by":"crossref","first-page":"972","DOI":"10.3171\/jns.1983.59.6.0972","article-title":"Clinical stages of human brain abscesses on serial CT scans after contrast infusion. 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