Neurosurgical management of brain abscesses in children
| Autor: | F. Stoica, A. V. Ciurea, L. Nuteanu, G. Vasilescu |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty Cyanotic congenital heart disease Brain Abscess Neurosurgical Procedures Central nervous system disease Risk Factors Epidemiology medicine Humans Child Abscess Retrospective Studies business.industry Incidence Incidence (epidemiology) General Medicine medicine.disease Survival Analysis Surgery Treatment Outcome El Niño Child Preschool Pediatrics Perinatology and Child Health Etiology Female Neurology (clinical) Neurosurgery business |
| Zdroj: | Child's Nervous System. 15:309-317 |
| ISSN: | 1433-0350 0256-7040 |
| DOI: | 10.1007/s003810050400 |
| Popis: | The authors review the management of brain abscesses (BAbs) in 59 pediatric cases. The major surgical procedure used to treat them was repeated puncture and aspiration (51 cases, or 86.44%), excision (8 cases - 13.56%) being of secondary importance. The main etiology was metastatic lesions (24 cases - 40.68%), those due to cyanotic congenital heart disease being the most frequent. Single lesions dominated (41 cases - 69.49%). Gram-positive cocci were the main bacteria involved (31 cases, 52.5%). CT scan represented the main tool in the diagnosis and follow-up. Puncture and aspiration in BAbs led to a significant decrease in mortality (7 cases - 11.86%), and the incidence of seizures and neurological deficits was also reduced. Mortality was significantly correlated with the following factors: consciousness status, multiple BAbs location and hematogenous dissemination. There were recurrences in 11 cases (18.64%), all observed after aspiration procedures. The current concepts for complex management of BAbs, as reflected in recent literature data, are reviewed, with particular emphasis on the use of real-time CT or ultrasound-guided operative techniques. |
| Databáze: | OpenAIRE |
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