{"id":"c746cdec-37bf-4888-be8c-fdad41bb30af","slug":"a-case-of-brain-abscess-successfully-treated-with-continuous-irrigation-therapy-2","title":"A case of brain abscess successfully treated with continuous irrigation therapy","authors":["Olga Dzupova"],"abstract":"Background: The letter addresses a case report on the treatment of a cerebellar abscess and purulent meningitis using continuous irrigation therapy. The author critiques the notion that this method is novel, emphasizing that intraventricular administration of antibiotics is indicated for ventriculitis, not for abscesses that do not communicate with the ventricles. Summary: The author argues that the reported case lacks evidence of ventriculitis and that the use of irrigation through the lateral ventricle is unjustified. Continuous irrigation in cases of brain abscess is only appropriate when there is a direct communication with the CSF spaces. The letter highlights the risks associated with such irrigation, including the potential for disseminating infection. Conclusion: The author concludes that incorrect treatments should not be published as novel methods in scientific journals. The critique emphasizes the importance of adhering to established treatment protocols to avoid complications and ensure patient safety. Keywords: brain abscess, continuous irrigation, ventriculitis, meningitis, antibiotic therapy, surgical treatment, complications, neurosurgery","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/placeholders/specialty/infection.png","publishDate":"2025-12-12T00:00:00.000Z","doi":"10.25259/SNI_1157_2025","categories":["Infection","Letter to the Editor"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/c746cdec-37bf-4888-be8c-fdad41bb30af/pdf"}