Brain abscess and its surgical management

Gruszkiewicz, J; Doron, Y; Peyser, E; Borovich, B; Schachter, Jacob; Front, Dov

doi:10.1016/0090-3019(82)90004-0

Cited by 32 publications

(14 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Brain abscess frequently occurs as a result of an otorhinolaryngological infection [12,14,29], or due to congenital disease manifesting with right-to-left shunt, such as Tetralogy of Fallot [12,17] or pulmonary anterior venous fistula (pAVF) [18,20,27]. In some cases, however, the primary source of the brain abscess remains unknown, which is known as cryptogenic brain abscess (CBA).…”

Section: Introductionmentioning

confidence: 98%

Brain abscess associated with patent foramen ovale

et al. 2014

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 98%

Brain abscess associated with patent foramen ovale

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Of these, CT scan has proved to be the most practical, accurate and offers the best results regarding the location of the lesion, the planning of an appropriate medical therapy and observing the resolution of brain abscess. [8] However, initial CT scans have failed to detect the presence of intracranial abscess and therefore, gadolinium-enhanced MRI studies are very important in detecting underlying intracranial abscesses missed by CT scan. [15] MRI scans are more sensitive and specific in the detection of intracranial abscess, extent of perilesional edema and leptomeningeal involvement.…”

Section: Discussionmentioning

confidence: 99%

Rare case of intracranial Salmonella enteritidis abscess following glioblastoma resection: Case report and review of the literature

Sait

Rahmathulla²,

Chen³

et al. 2011

Surg Neurol Int

View full text Add to dashboard Cite

Background:Worldwide, Salmonella enteritidis (SE) is becoming a common cause of gastrointestinal infections by contaminated food products, mainly eggs. Extra-intestinal manifestations such as brain abscess are more commonly associated with Salmonella typhimurium and are rare in adults. We report the clinical features, treatment outcomes and risk factors predisposing our patient to Salmonella enteritidis brain abscess and discuss relevant literature.Case Description:A 57-year-old-man developed SE subdural empyema, abscess and possible ventriculitis following reoperation for progression of a right temporal glioblastoma. He initially presented with rapidly worsening headaches over a few days, with a wound discharge and associated meningeal signs. An emergent wound washout revealed pus in the epidural, subdural space and resection cavity. An external ventricular drain (EVD) was placed and cultures revealed gram negative rods. Timely intervention, EVD, and antibiotics resulted in complete resolution. Nine cases of Salmonella abscess associated with primary brain tumor have been reported in literature, most frequently caused by SE in association with glioblastoma multiforme (GBM). We describe our management and outcome in addition to discussing neurosurgical literature on the reported cases.Conclusions:Re-operative tumor surgery has a higher incidence of post-operative infections, with Gram positive cocci being the most common pathogens. Predisposing factors reported for intracranial salmonellosis include compromised immunity, diabetes, HIV, and recent travel. Chronic corticosteroid use, multiple regimens of chemotherapy, and regions of tumor necrosis likely potentiate this rare infection in GBM patients.

show abstract

“…It is well known that steroids are administered in acute fulminant tubercular meningitis to prevent neurological damage. However, preoperative use of corticosteroids should be avoided in tuberculous brain abscess since they prevent antibiotics from penetrating the abscess and interfere with encapsulation [19,20,21]. Sometimes the lesion can be difficult to recognize and its treatment can be ineffective [4,19,20,21].…”

Section: Discussionmentioning

confidence: 99%

“…The surgical treatment of tuberculous brain abscess needs individualization [4,19,20,21]. Antitubercular therapy is the mainstay of the treatment.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Temporal Brain Abscess Mimicking Otogenic Pyogenic Abscess

2009

View full text Add to dashboard Cite

Tuberculous brain abscess is a rare manifestation of central nervous system tuberculosis. We report the case of a tuberculous temporal lobe abscess in a 14-year-old female child that mimicked an otogenic pyogenic brain abscess. The patient had no prior history of tuberculosis. She had chronic otitis media and presented with signs of raised intracranial tension. Radiological imaging was suggestive of an acute pyogenic left temporal lobe abscess. A left temporal craniotomy was performed and the abscess was completely excised. Histological examination was consistent with a chronic abscess, and bacterial cultures were negative. A left radical mastoidectomy was also carried out. However, she presented with repeated abscess formation at the same site over the next 8 weeks, which was refractory to surgical therapy and broad-spectrum antibiotic administration. Furthermore, the purulent exudate showed strong positivity in the PCR test for tubercular bacilli. After administration of antituberculous treatment, she showed gradual clinical and radiological improvement. At follow-up after 2 years, she is asymptomatic. CT imaging at 2 years showed total resolution of abscess. Tuberculous abscess in the temporal lobe following otogenic infection has not been reported in the pediatric population. Although rare, the possibility of tuberculous etiology should be borne in mind as a differential diagnosis of acute abscess of otogenic origin, especially in endemic areas where the incidence of chronic otitis media as well as tuberculosis is high. The pathogenesis and treatment of tuberculous brain abscess in children is reviewed in light of the current literature on the subject.

show abstract

Brain abscess and its surgical management

Cited by 32 publications

References 24 publications

Brain abscess associated with patent foramen ovale

Brain abscess associated with patent foramen ovale

Rare case of intracranial Salmonella enteritidis abscess following glioblastoma resection: Case report and review of the literature

Tuberculous Temporal Brain Abscess Mimicking Otogenic Pyogenic Abscess

Contact Info

Product

Resources

About