Brain abscess in infants and children
Tóm tắt
Forty-four consecutive patients with brain abscesses, aged between 1 month and 16 years, were reviewed. The cause of abscess was menigitis in 36% of the cases, otitis in 27%, heart disease in 9%, other in 5%, and undetected in 5%. Thirty patients had a single abscess and 12 had multiple abscesses. Multiloculated abscess was present in 2. Total excision was accomplished in 22 patients. Three patients underwent needle aspiration. Drainage of the abscess was performed in 13. Secondary excision was needed in 5 patients. One patient was treated nonsurgically. Streptococci, staphylococci and Proteus mirabilis were the microorganisms recovered in cultures. Overall mortality was 20% (9 patients). Mortality was significantly higher in patients under 2 years of age than in those older. Of 15 patients who were comatose at the time of admission, 6 died. Etiology, diagnostic method, and treatment modalities were not found to be significant factors in terms of predicting mortality.
Tài liệu tham khảo
Aebi C, Kaufmann F, Schaad UB (1991) Brain abscess in childhood: long-term experiences. Eur J Pediatr 150:282–286
Basit AS, Ravi B, Banerji A, Tandon PN (1988) Multiple pyrogenic brain abscesses: an analysis of 21 patients. J Neurol Neurosurg Psychiatry 52: 591–594
Brook I (1981) Bacteriology of intracranial abscess in children. J Neurosurg 54:484–488
Buonaguro A, Colangelo M, Daniele B, Cantone G, Ambrosio A (1989) Neurological and behavioral sequelae in children operated on for brain abscess. Child's Nerv Syst 5:153–155
Burke LP, Lo SU, Cerullo LJ, Kim KS, Harter DH (1981) Multiple brain abscesses. Surg Neurol 16:452–454
Carey ME, Chou SN, French LA (1972) Experience with brain abscesses. J Neurosurg 36:1–19
Chun CH, Johnson JD, Hofstetter M, Raff MJ (1986) Brain abscess. A study of 45 consecutive cases. Medicine 65: 415–431
Dandy WE (1926) Treatment of chronic absecess of the brain by tapping. J Am Med Assoc 87:1477–1478
Garvey G (1983) Current concepts of bacterial infections of the central nervous system. Bacterial meningitis and bacterial brain abscess. J Neurosurg 59:735–744
Hedge AS, Venkataramana NK, Das BS (1986) Brain abscess in children. Child's Nerv Syst 2:90–92
Heineman HS, Braude AI (1963) Anacrobic infection of the brain: observations on eighteen consecutive cases of the brain abscess. Am J Med 35:682–697
Hirsch J-F, Roux FX, Sainte-Rose C, Renier D, Pierre-Kahn A (1983) Brain abscess in childhood. A study of 34 cases treated by puncture and antibiotics. Child's Brain 10:251–265
Jadavji T, Humpreys RP, Prober CG (1985) Brain abscesses in infants and children. Pediatr Infect Dis J 4: 394–398
Maceven W (1893) Pyogenic infective disease of the brain and the spinal cord. Maclehose, Glasgow
Mampalam TJ, Rosenblum MI (1988) Trends in the management of bacterial brain abscesses: a review of 102 cases over 17 years. Neurosurgery 23: 451–458
Moss SD, McLone DG, Arditi M, Yogev R (1988) Pediatric cerebral abscess. Pediatr Neusosci 14:291–296
Moussa AH, Dawson BH (1978) Computed tomography and mortality rate in brain abscess. Surg Neurol 10: 301–304
Nielsen H, Gyldensted C, Harmsen A (1982) Cerebral abscess, aetiology and pathogenesis, symptoms, diagnosis, and treatment. A review of 200 cases from 1935–1976. Acta Neurol Scand 65:609–622
Raimondi AJ, Matsumoto S, Miller RA (1965) Brain abscess in children with congenital heart disease. I. J Neurosurg 23:588–595
Renier D, Flandin C, Hirsch E, Hirsch J-F (1983) Brain abscess in neonates. A study of 30 cases. J Neurosurg 69:877–882
Rousseaux M, Lesoin F, Destee A, Jomin M, Petit H (1985) Developments in the treatment and prognosis of multiple cerebral abscesses. Neurosurgery 16:304–308
Saez-Llorens XJ, Ummana MA, Odio CM, McCracken GH, Nelson JD (1989) Brain abscess in infants and children. Pediatr Infect Dis J 8: 449–458
Samson DS, Clark K (1973) A current review of brain abscess. Am J Med 54:201–210
Selker RG (1975) Intracranial abscess: treatment by continuous catheter drainage. Child's Brain 1:368–375
Stephanov S (1978) Experience with multiloculated brain abscess. J Neurosurg 49:199–203
Svanteson B, Nordström C-H, Rausing A (1988) Non-traumatic brain abscess. Epidemiology, clinical symptoms and therapeutic results. Acta Neurochir (Wien) 94:57–65
Tekkök IH, Erbengi A (1992) Management of brain abscess in children: review of 130 cases over a period of 21 years. Child's Nerv Syst 8:411–416
Theophilo F, Burnett A, Filho GJ, Adler A, Miranda S, Theophilo L, Carvalho M, Lopes J (1987) Ultrasound guided brain abscess aspiration in neonates. Child's Nerv Syst 3: 371–374
Vincent C, David M, Askénasy H (1937) Sur une methode de traitement des abcès subaigus et chroniques des hémisphères cérébraux; large décompression puis ablation en masse sans drainage. J Chir (Paris) 49:1–46
Westcombe DS, Dorsch NWC, Teo CH (1988) Management of cerebral abscess in adolescents and adults. Experience in the CT-scan era. Acta Neurochir (Wien) 95:85–89
Wong TT, Lee LS, Wang HS, Shan EY, Jaw WC, Chi CS, Hung KL, Liou WY, Shen YZ (1989) Brain abscess in children—a cooperative study of 83 cases. Child's Nerv Syst 5:19–24
Yang S-Y (1981) Brain abscess: a review of 400 cases. J Neurosurg 55:794–799
Yang S-Y (1989) Brain abscess associated with congenital disease. Surg Neurol 31:129–132