Les empyèmes intracrâniens : aspects épidémiologiques, cliniques, paracliniques et thérapeutiques. Étude rétrospective de 100 observations

Ouiminga, Habib Abdoul Karim; Thiam, Alioune Badara; Ndoye, Ndèye Aby; Fatigba, Holden O.; Thioub, Mbaye; Memou, S.; Sakho, Maguette Gaye; Korchi, Amine M.; Mendy, J. B.; Ba, Momar Codé; Badiane, Seydou Boubakar

doi:10.1016/j.neuchi.2014.06.015

Cited by 9 publications

(10 citation statements)

References 17 publications

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“…The male predominance found here is classic regardless of the doorway and type of intracranial suppuration [11,12]. Age (Mean: 14.7 years) is consistent with the literature [13][14][15] and is explained by the higher incidence of sinus and otomastoid infections at this time of life [12,13].…”

Section: Discussionsupporting

confidence: 88%

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Brain Abscess of Otorhinolaryngologic Origin: Study of 80 Cases in the Neurosurgery Department of Conakry University Hospital Center

Fatoumata¹,

Sory²,

Ghislain³

et al. 2021

J Biomed Res Environ Sci

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Introduction: Brain abscesses are serious conditions that can be life-threatening if left untreated. The objective of our study was to determine the epidemiological, clinical, paraclinical, therapeutic and evolutionary characteristics of cerebral abscesses of otorhinolaryngological origin in our department. Methods and Materials: This was a retrospective study of 80 cerebral abscess files of otorhinolaryngological origin collected over a period of 5 years (January 2014-December 2018) at the neurosurgery department of Conakry University Hospital Center. Results: Abscesses of otorhinolaryngological origin represented 72% of all abscesses. The mean age was 14.7 years with a sex ratio of 4. The clinical picture was dominated by fever (92%), focal signs (55%) and intracranial hypertension (46%). The entrance door was 84% sinus. The frontal site was predominant, 44 cases. Eighty-two percent of patients underwent surgery and 18% were treated with antibiotic therapy alone. The evolution was favorable in 75% of the cases with a mortality rate of 15%. Conclusion: Brain abscesses are a medical-surgical emergency. The forms of otorhinolaryngologic origin are dominated by sinusitis. Despite the therapeutic difficulties, the prognosis remains acceptable in our study, 15% of deaths.

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Section: Discussionsupporting

confidence: 88%

“…Comital attacks vary from 22.2 to 44% of cases [3,8] and 24% in our series. Consciousness disorders represent 23% in our series compared to 63% in a Senegalese series [14]. Delayed diagnosis would explain…”

Section: Discussionmentioning

confidence: 58%

Brain Abscess of Otorhinolaryngologic Origin: Study of 80 Cases in the Neurosurgery Department of Conakry University Hospital Center

Fatoumata¹,

Sory²,

Ghislain³

et al. 2021

J Biomed Res Environ Sci

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“…in 12 patients found no positive serology. The leukocytosis, the acceleration of the sedimentation rate and the increase in C-reactive protein reported by some authors[6] [10], and found during our study (almost 3 times out of 4), constitute for us, elements of biological monitoring of ICS. Pus analysis was only performed in 34 patients.…”

supporting

confidence: 72%

“…This is often the complications of loco-regional infections that include sinusitis infections are the most common cause with a rate identical to that of scalp and facial infections (29.2%). These sinusitis are also the first entry into the studies of Broalet [4], Ouiminga [6] and Diallo [7]. Miniar [8] ranks them in first position with meningitis.…”

Section: Therapeutic and Evolutionary Datamentioning

confidence: 99%

“…The anaerobic germs had not been isolated. The low rate of positivity of bacteriological examinations and the prevalence of Gram positive Cocci were noted by Ba[3] and Ouiminga[6] in Senegal, as well as Miniar[8] in Tunisia. The antibiotherapy of the period of "diagnostic wandering", poor conditioning of pus may explain this low positivity of the examinations and the absence of anaerobic germs, which we and other authors [8] [13] have noted.…”

mentioning

confidence: 99%

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Intracranial Suppuration at the Brazzaville Academic Hospital

Boukassa¹,

Mbaki²,

Ngackosso³

et al. 2020

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Background: Intracranial suppurations (ICS) due to banal germs are medical-surgical emergencies, despite their little removed frequency. Represented by abscesses and empyemas, their management has been improved by the combined contributions of new diagnostic and therapeutic methods. Objective: Appreciate the management of intracranial suppurations banal germ in our service. Material and methods: A retrospective study of 41 cases of intra-cranial suppurations was conducted at Brazzaville University Hospital, from January 2007 to June 2019. Diagnostic, therapeutic and evolution aspects have been studied. Results: They are divided into 24 empyemas, 8 abscesses and 9 associations abscess-empyema. The average age was 20.2 years old in general. The male predominance is noted in all groups. The sex ratio is 3.1 for all of these intracranial suppurations (ICS). They frequently complicated Oto-Rhino-Laryngology (ORL) infections (41.4%). The clinic was mostly represented by the Bergman's triad 51.2%, followed by headache 14.6% and seizures 12.2%. The lesions were predominant in supratentorial 97.5%. Frontal location was found in 67.4%. Germs were isolated in 29.4% of samples. There were 5 Streptococci, 3 Staphylococci and 2 Gram-negative Bacilli. The medico-surgical treatment indicated in 80.5% combined often probabilistic tri-antibiotherapy with the evacuation of the pus by the trepano-puncture. Evolution under this treatment was marked by healing in 90.2%. The lethality was 9.7%. Conclusion: The pursuit of the improvement of these infections requires the adequate treatment of their gateways, most of them loco-regional.

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