Unexpected Pathway: Delayed Idiopathic Brain Edema Following Successful Stereotactic Aspiration of a Brain Abscess: A Case Report

Abstract

Introduction: This article presents a rare case of idiopathic delayed brain edema (IDE) following successful stereotactic aspiration of a deeply seated brain abscess in a five-year-old child. Case Presentation: The patient underwent frameless stereotactic aspiration of a brain abscess. Despite successful abscess resolution and initial improvement, the child developed severe cerebral edema one month later, necessitating left decompressive craniectomy, additional interventions, and prolonged hospitalization. Conclusions: This paper outlines the clinical trajectory, diagnostic challenges, and management strategies employed, highlighting the unique presentation of delayed IDE in the pediatric population. The findings contribute to understanding IDE and its management after abscess resolution, particularly in young patients.