Medknow Publications on behalf of the Neurological Society of India
Abstract
We report a 57-year-old man who presented one month after sustaining a
traumatic right temporal intracerebral hematoma with history of
headache, left hemiparesis and altered sensorium of two days duration.
A diagnosis of right temporal resolving hematoma was made on computed
tomography scan. However, his sensorium progressively deteriorated and
he underwent craniotomy and partial excision of an abscess. He was
treated with appropriate antibiotics for six weeks despite of which he
did not improve and died nine months later. We conclude that there
should be a high index of suspicion for brain abscess in patients with
traumatic intracerebral hemorrhage if the clinical and radiological
picture is different from the expected course of a resolving hematoma
