Brain Abscess Following Intracerebral Hemorrhage: A Case Report

the brain parenchyma, and this requires prompt administration of high dose antibiotics and surgical drainage. Brain abscesses frequently arise secondary to hematogenous dissemination, by direct inoculation (trauma or surgery), by contiguous dissemination from an extracranial site or as a complication of meningitis. However, the development of a brain abscess at the site of a prior intracerebral hemorrhage is extremely rare, and only several sporadic cases have been reported in the medical literature (1, 2). Differentiation between a resolving intracerebral hematoma and a brain abscess is mandatory for administering the appropriate treatment. We present here a case with a brain abscess at the site of a prior intracerebral hemorrhage and we provide the MR findings that can help differentiate between a brain abscess and a resolving intracerebral hematoma.