Clinical Efficacy of Endoscopic Surgery for Intracranial Abscesses

Intracranial abscesses, including brain abscesses, ventriculitis, and subdural empyema, are critical conditions with high mortality rates. Conventional treatments involve antibiotics and surgical drainage or curettage; however, neuroendoscopic surgery has shown promising outcomes and requires further study. Herein, we present three cases that were successfully managed using neuroendoscopic surgery. Two patients had brain abscesses with ventricular rupture secondary to dural defects and were treated with transventricular endoscopic removal and dural repair. The third patient, a male in his 90s, had subdural empyema that was treated effectively via burr hole endoscopic drainage under local anesthesia. All patients survived, highlighting the minimally invasive and effective nature of neuroendoscopic interventions. Neuroendoscopic surgery has potential advantages in the management of intracranial abscesses by providing minimally invasive access, enhanced visualization for precise drainage, and additional diagnostic insights. These cases support the incorporation of neuroendoscopy as an effective and less invasive treatment option, especially in severely ill or elderly patients.