A CASE OF BRAIN ABSCESS AFTER ENDOSCOPIC ESOPHAGEAL DILATATION

Abstract

A sixty-one-year-old man was admitted to the hospital with numbness and paralysis in his left hand six days after a second esophageal balloon dilatation for cicatricial stricture that had developed after esophageal endoscopic submucosal dissection. Brain abscess was diagnosed on plain head CT and enhanced head MRI. He was treated with antibiotics, but his condition did not improve. Therefore, a craniotomy for drainage was performed. The causative organism was α-Streptococcus. The patient's numbness and paralysis disappeared. It was speculated that esophageal balloon dilatation was involved in the development of the brain abscess. Here we report a rare and valuable case of brain abscess after endoscopic esophageal dilatation.