Brain abscess burr hole aspiration in children with congenital heart disease in low facility centers: case series

Abdulghani, Yasser Seddeg; Elzain, Mohammed Awad; Ahmed, Abubakr Darrag Salim; Abdelhalim, Salaheldin Awad

doi:10.24911/sjp.106-1589487269

Cited by 3 publications

(1 citation statement)

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“…6 Antibiotics, glucocorticoids (dexamethasone), and surgical drainage are commonly used to treat brain abscesses. 8 Brain abscesses can be treated with needle aspiration or surgical excision. 1 Brain abscesses initially treated with needle aspiration should be re-aspirated if they fail to regress in size or recur.…”

Section: Introductionmentioning

confidence: 99%

Re-Operation Rates after Burr-Hole Aspiration of Brain Abscess

Sehrish Altaf,

Farrukh Javeed,

Iram Bokhari

et al. 2023

Pak J Neurol Surg

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Objectives: To determine the re-operation rates after burr-hole aspiration of brain abscess. Materials & Methods: The cross-sectional study was conducted from August 2022 to January 2023 at Jinnah Postgraduate Medical Centre (JPMC). A single burr-hole aspiration was used to treat a total of 64 cerebral abscess patients. Demographics, clinical presentation, predisposing variables, abscess location on imaging, and clinical outcomes were examined in medical records. Results: The study included 64 patients with 60.9% males and 39.1% females. Patients most commonly presented with headache (90.6%) and fever (81.2%) with the majority of patients (92.1%) aged less than 30 years. The commonest source of infection was congenital heart disease (29.6%) in both aspiration and re-aspirations (46.6%). The parietal region was the most common location in both aspiration (32.8%) and re-aspiration (40%) of abscesses with the majority (40%) of re-aspirations done in the 3rd postoperative month. Conclusion: Single burr-hole aspiration is a safe and effective method for the management of brain abscesses. It is a less invasive procedure and is associated with minimal complications. The learning curve is short and safely be performed by neurosurgeons in training. Keywords: Brain abscess, Burr-hole aspiration, Re-aspiration, Infection, Meningitis.

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Section: Introductionmentioning

confidence: 99%