[Clinical and therapeutic aspects of brain abscesses: 17 cases reviewed at the Gabriel Toure teaching hospital In Bamako].
| Autor: | Kanikomo D; Service de Neurochirurgie CHU Gabriel Touré Bamako., Diallo O; Service de Neurochirurgie CHU Gabriel Touré Bamako., Sogoba Y; Service de Neurochirurgie CHU Gabriel Touré Bamako., Maiga Y; Service de Neurologie CHU Gabriel Touré Bamako., Diop AA; Service de Neurochirurgie Centre National et universitaire de Fann Dakar., Traore H; CHU d'Odonto-stomatologie., Traore D; Service de chirurgie B du CHU du Point G., Timbo SK; Service d'ORL CHU Gabriel Touré Bamako., Sidibe S; Service de radiologie CHU Point « G ». |
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| Jazyk: | francouzština |
| Zdroj: | Le Mali medical [Mali Med] 2013; Vol. 28 (2), pp. 18-22. |
| Abstrakt: | Objective: The purpose of this study was to determine the incidence, clinical features, localization, and therapeutic aspects of the evolution of the brain abscess. Patients and Methods: This was a retrospective study which included patients admitted for brain abscess at the Gabriel Touré Hospital in Bamako between January 2007 and September 2010. Results: We collated the data of 17 patients. Fever was the predominant symptom in 14 patients and headache in 13. The main clinical signs were hemiparesis (11 patients) and vomiting (8 patients). The origin of infection was especially posttraumatic in 5 patients, locoregional by contiguity in 5 where 3 whose originated in the sinuses. All patients received triple antibiotic therapy. The surgical management by trépanoponction was indicated in 16 patients. The clinical outcome was favorable in 14 patients. Three patients died. Conclusion: Brain abscess is a common condition in Mali. Despite improved diagnostics and treatment of patients, mortality remains high hence the interest of prevention through early diagnosis and treatment of infectious ORL. (Le comitée de rédaction se réserve le droit de revoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de sonserver un examplaire du manuscrit, des figures et des tableaux.) |
| Databáze: | MEDLINE |
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