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Ultrasound-guided aspiration of intracranial abscess in a tertiary health institution in South-eastern Nigeria: Facing the many challenges of a resource-poor setting
1 Lecturer, Department of Surgery, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria
2 Professor, Department of Surgery, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria
3 Senior Lecturer, Department of Radiology, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria
4 Post-part 2 Fellow, Department of Radiology, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria
5 Senior Registrar, Department of Surgery, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria
Address correspondence to:
Sunday PU Nkwerem
Department of Surgery, Nnamdi Azikiwe University, Nnewi Campus, Anambra State,
Nigeria
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Article ID: 101270Z01SN2021
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How to cite this article
Nkwerem SPU, Emejulu JKC, Umeh EO, Umeokafor CC, Ekweogwu OC, Nwosu RC. Ultrasound-guided aspiration of intracranial abscess in a tertiary health institution in South-eastern Nigeria: Facing the many challenges of a resource-poor setting. Int J Case Rep Images 2021;12:101270Z01SN2021.ABSTRACT
Introduction: Intracranial abscesses are usually life-threatening. Minimally invasive procedures are effective especially if deep seated, located in dominant or eloquent cortex. Image guidance especially, ultrasound guidance, could suffice in resource poor setting. Absence of appropriate probes, dedicated theatre ultrasonographic setup, and technical know-how may be a drawback. We present our experience with four cases managed recently in our institution. Highlighting our limitation and efforts made to overcome this.
Case Series: Four consecutives cases, a 2-month-old baby, a 15-year-old female, a 67-year-old man, and a 2-month-old baby with a right deep frontoparietal, occipital, right fronto-parieto-occipital, and frontoparietal intracranial abscesses respectively, had ultrasound-guided aspiration of lesion using adapted transducer, together with good collaboration with the radiology department of the hospital. Procedure was successful.
Conclusion: Ultrasound guidance in resource poor setting remains a good option with due inter-disciplinary collaboration.
Keywords: Intracranial abscesses, Ultrasound guidance
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Author Contributions
Sunday PU Nkwerem - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jude-Kennedy C Emejulu - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Eric Okechukwu Umeh - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Chijioke C Umeokafor - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ofodile C Ekweogwu - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Raphael C Nwosu - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Sunday PU Nkwerem et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
