Distribution of artificially-produced microembolic signals into the cerebral circulation

Meves, Saskia H.; Schrd̈er, Alexandra; Muhs, A.; Postert, Thomas; Federlein, Jens; T, Bttner

doi:10.1016/s0301-5629(00)00343-4

Cited by 10 publications

(11 citation statements)

References 15 publications

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“…This is also supported by the clinical observations and experimental data that the frontoparietal region is the most prevalent area of abscess formation after hematogenous dissemination [8]. The conditions for the development of a brain abscess were preceding bacteremia and immaturity of the immune system in an extremely low birth weight infant.…”

Section: Discussionmentioning

confidence: 56%

Successful Treatment with Ultrasound-Guided Aspiration of Intractable Methicillin-Resistant <i>Staphylococcus aureus</i> Brain Abscess in an Extremely Low Birth Weight Infant

Park

Kim²,

Oh³

et al. 2015

Pediatr Neurosurg

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Brain abscesses are an uncommon and devastating complication of bacteremia in extremely low birth weight infants (<1 kg). We report a 25-week preterm neonate who developed a brain abscess 4 weeks following methicillin-resistant Staphyloccocus aureus (MRSA) sepsis. A huge brain abscess was seen with routine brain sonography on day 19 of life. Despite intravenous vancomycin treatment, the brain abscess increased in size and was associated with increased intracranial pressure on day 49 of life. The brain abscess was accompanied by mild meningeal inflammation with negative blood and cerebrospinal fluid cultures. Diagnosis of abscess was confirmed by bedside ultrasound-guided aspiration, and MRSA was isolated from the pus culture. The MRSA brain abscess refractory to vancomycin was successfully treated by surgical ultrasound-guided percutaneous needle aspiration of brain abscess and prolonged courses of antibiotic administration. At the time of this report, the infant was 9 months old (corrected age was 6 months) and had normal neurodevelopment for her corrected age on the Bayley Infant Neurodevelopmental Screener.

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Section: Discussionmentioning

confidence: 56%

Successful Treatment with Ultrasound-Guided Aspiration of Intractable Methicillin-Resistant <i>Staphylococcus aureus</i> Brain Abscess in an Extremely Low Birth Weight Infant

Park

Kim²,

Oh³

et al. 2015

Pediatr Neurosurg

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“…Meves and colleagues (32) showed that only 21.4%-23.7% of the HITS detected in the middle cerebral artery could be found in the basilar artery. A clear disadvantage of classic contrast-enhanced transcranial Doppler US is that the ipsilateral posterior cerebral artery may be mistaken for the middle cerebral artery, even by an experienced examiner (33).…”

Section: Discussionmentioning

confidence: 98%

Transcranial Duplex Sonography in the Detection of Patent Foramen Ovale

Blersch¹,

Draganski²,

Holmer³

et al. 2002

Radiology

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“…The hematogenous dissemination was also favored by the location of the abscess in the frontal lobe. Clinical observations and experimental data have shown that the frontoparietal region is the most favorable site of abscess formation after hematogenous dissemination [12].…”

Section: Discussionmentioning

confidence: 99%

Brain Abscesses Complicating Staphylococcus aureus Sepsis in a Premature Infant

et al. 2005

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Brain abscess is a rare complication of staphylococcal bacteremia in infants. Here we present a case of a premature infant who developed multiple brain abscesses 12 weeks following an episode of inadequately treated Staphylococcus aureus sepsis. The abscess developed in the absence of trauma, prior surgery, cyanotic heart disease, or immune defect. The initial staphylococcal isolate exhibited identical pulsed-field gel electrophoresis pattern with that of the isolate cultured from abscess aspirate. The infant was successfully treated by surgical drainage and administration of antibiotics for 12 weeks, initially teicoplanin and meropenem followed by trimethoprim/sulfamethoxazole, without neurological or developmental sequelae. Staphylococcal bacteremia in neonates should be vigorously treated to prevent life-threatening complications.

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Distribution of artificially-produced microembolic signals into the cerebral circulation

Cited by 10 publications

References 15 publications

Successful Treatment with Ultrasound-Guided Aspiration of Intractable Methicillin-Resistant <i>Staphylococcus aureus</i> Brain Abscess in an Extremely Low Birth Weight Infant

Successful Treatment with Ultrasound-Guided Aspiration of Intractable Methicillin-Resistant <i>Staphylococcus aureus</i> Brain Abscess in an Extremely Low Birth Weight Infant

Transcranial Duplex Sonography in the Detection of Patent Foramen Ovale

Brain Abscesses Complicating Staphylococcus aureus Sepsis in a Premature Infant

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