Scalp block for brain abscess drainage in a patient with uncorrected tetralogy of Fallot

Sethi, Sameer; Kapil, Sonia

doi:10.12998/wjcc.v2.i12.934

Cited by 11 publications

(22 citation statements)

References 15 publications

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“…Clinically, the patients usually present with vomiting, fever, headache, seizures, focal neurologic signs and eventually, papilloedema and coma, but these manifestations can be subtle in the initial stages [3,5]. In our patient although a significant abscess with midline shift was present, the initial manifestations were subtle and unspecific (fever and headache).…”

Section: Discussionmentioning

confidence: 55%

“…This procedure can be made by general or scalp block anesthesia with good result, but require expensive apparatus and expertise [3].…”

Section: Discussionmentioning

confidence: 99%

“…Tetralogy of Fallot (ToF) is the most common cyanotic congenital heart disease (CHD) accounting for 10%. The ToF is characterized by ventricular septal defect, overriding aorta, hypertrophy of right ventricle and right ventricular outflow tract obstruction (RVOT) which can be valvular, infundibular or both [3]. There have been several reports of neurological complications associated with ToF [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Brain Abscess in Uncorrected Tetralogy of Fallot Diagnosed during Preparation for Computed Cardiac Angiotomography

Matias¹

2015

J Cardiovasc Dis Diagn

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We describe the case of a 9-year-old boy with uncorrected tetralogy of Fallot who presented with seizures at the computed tomography room during the preparation for cardiac computed tomography angiography in order to characterize the cardiac defect. The cardiac computed tomography angiography was suspended, and a brain computed tomography without contrast was performed followed by brain magnetic resonance imaging. The brain scan showed a large abscess in the right temporo-parietal region with important midline shift. The management of the patient was a combination of antibiotic therapy and osteoplastic craniotomy with removal of abscess capsule. At the discharge the patient looks well and no focal deficits on neurological examination were observed. Now-a-days he is following up with heart surgeons for correction of the tetralogy of Fallot. The aim of this report is highlight the importance of recognizing the brain abscess in patients with uncorrected congenital heart disease. The authors also discuss the better therapeutic option of this serious often fatal complication.

show abstract

Section: Discussionmentioning

confidence: 55%

“…This procedure can be made by general or scalp block anesthesia with good result, but require expensive apparatus and expertise [3].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Brain Abscess in Uncorrected Tetralogy of Fallot Diagnosed during Preparation for Computed Cardiac Angiotomography

Matias¹

2015

J Cardiovasc Dis Diagn

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“…With regards to surgery, brain abscess may be removed through osteoplastic craniotomy with removal of abscess capsule, or the abscesses may be treated by aspiration and drainage of the abscess under stereotaxic guidance. This procedure can be made by general or scalp block anesthesia with good result, but require expensive apparatus and expertise [16].…”

Section: Discussionmentioning

confidence: 99%

“…Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease (CHD) accounting for 10%. The TOF is characterized by ventricular septal defect, overriding aorta, hypertrophy of right ventricle and right ventricular outflow tract obstruction (RVOT) which can be valvular, infundibular or both [3,4]. Tetralogy of Fallot (TOF) is a leading cause of cyanotic congenital heart disease and forms about 10% of total congenital heart diseases and constitutes 13-70% of all brain abscess [5,6].…”

Section: Introductionmentioning

confidence: 99%

Brain Abscess in Undiagnosed Tetralogy of Fallot

Nemayire¹,

Kabulo²,

Jokonya³

et al. 2018

IJI

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Cardiovascular disease is a leading cause of mortality in all ages worldwide. Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease (CHD) accounting for 10%. There have been several reports of neurological complications associated with TOF. Although it is known, brain abscess (BA) is a serious complication in patients with uncorrected CHD mostly in the age of 4-7 years-old. We report a case of a 7 year old male who presented with a 3 month history of left sided body weakness and a 3 week history of a headache and fever. Patient was chronically unwell since birth where he would experience occasional episodes of exertional dyspnoea which was never investigated. Chest xray showed a globular-shaped heart. CT scan brain showed a 1,8 x 1,3 x 1,5 cm ring-enhancing lesion in the right parietal region with minimal perilesional vasogenic edema communicating with the body of the lateral ventricle, with enhancement of the ependymal lining of the ventricle; echocardiography revealed ventricular septal defect (VSD), overriding of aorta, obstruction to right ventricular outflow tract and hypertrophy of right ventricle consistent with a diagnosis of TOF. We elected to manage the patient conservatively on intravenous antibiotics, Patient improved significantly neurologically and was transferred to the cardiothoracic surgeons for further management of TOF.

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Management of Patient with Brain Abscess

Rajagopalan

2020

Problem Based Learning Discussions in Neuroanesthesia and Neurocritical Care

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Scalp block for brain abscess drainage in a patient with uncorrected tetralogy of Fallot

Cited by 11 publications

References 15 publications

Brain Abscess in Uncorrected Tetralogy of Fallot Diagnosed during Preparation for Computed Cardiac Angiotomography

Brain Abscess in Uncorrected Tetralogy of Fallot Diagnosed during Preparation for Computed Cardiac Angiotomography

Brain Abscess in Undiagnosed Tetralogy of Fallot

Management of Patient with Brain Abscess

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