A Pyogenic Thalamic Abscess Treated Using CT Guided Free Hand Aspiration of Abscess at a Centre in Rural India

Pyogenic brain abscess are one of the commonest intracranial pathology that is encountered in a rural neurosurgical practice. The surgical treatment for abscess involves burrhole aspiration or excision of the abscess wall. Deep seated brain abscess like the one in basal ganglia are rare and pose clinical, imaging and surgical challenge. CT guided stereotactic aspiration of the brain abscess is considered a safe treatment option for deep seated cystic lesions of the brain which includes brain abscesses. In rural India, constrains in the availability of stereotactic instrument, makes this condition a rather difficult diagnostic and neurosurgical challenge. Here in this case report we present a rare case of thalamic abscess and its management.