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>Revistas >Revista Mexicana de Neurociencia >Año 2010, No. 1


Molina DGA, Armijo YE, Mimenza AA
Absceso cerebral
Rev Mex Neuroci 2010; 11 (1)

Idioma: Español
Referencias bibliográficas: 64
Paginas: 63-70
Archivo PDF: 238.65 Kb.


Texto completo




RESUMEN

El absceso cerebral se define como la infección purulenta del parénquima cerebral de tipo focal, está secundaria a la diseminación de un foco infeccioso distante, la formación del absceso es un proceso complejo que dependerá de la respuesta inmunológica del huésped, la cual limitará o propagar la infección dentro del sistema nervioso central. Las variantes en la presentación clínica del absceso cerebral condicionan un retraso en el diagnóstico, ya que la triada clásica de cefalea, fiebre y déficit focal, solo aparece en menos de 50% de los casos. Los estudios de imagen convencional han revolucionado el diagnóstico oportuno de la lesión; sin embargo, estas técnicas no han logrado distinguir el absceso de otras lesiones ocupativas intracraneales, aumentando el número de falsos positivos. El advenimiento de técnicas de imagen como la espectroscopia y la resonancia magnética por difusión han aumentado la especificidad diagnóstica. Los avances en el tratamiento médico y quirúrgico han disminuido la mortalidad y las secuelas de este padecimiento. En la actualidad no se cuentan con guías internacionales para el diagnóstico y tratamiento del absceso cerebral. No se ha documentado en la literatura contemporánea meta-análisis o estudios prospectivos con el suficiente poder estadístico con el cual se logre establecer un consenso global en el manejo de este tipo de pacientes.


Palabras clave: Absceso cerebral, cerebritis, infección intracraneal, resonancia magnética.


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