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We thank Dr Moorthy and Dr Rajsekharan for showing interest in our article and giving their comments. We agree that in expert hands, a minimally invasive procedure via stereotactic route may be a viable option in brainstem lesions. However, for the vast majority of neurosurgeons, open surgery offers the safest and easiest way to approach the brainstem. It is also pertinent to note that tubercular pus can be very thick making needle aspiration difficult, if not impossible. It may therefore be prudent to surgically evacuate the pus so as to ensure complete decompression of the abscess as well as to remove compression on the brainstem.
机译:我们感谢Moorthy博士和Rajsekharan博士对我们的文章表现出兴趣并发表了评论。我们同意在专家的手中,通过立体定向途径进行微创手术可能是脑干病变的可行选择。但是,对于绝大多数神经外科医师而言,开放式手术是接近脑干的最安全,最简单的方法。同样要注意的是,结核性脓液可能非常厚,即使不是不可能的话,也很难进行穿刺。因此,应谨慎地对脓腔进行手术排空,以确保脓肿完全减压并去除脑干的压力。

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