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ISSN 2225-4676 (Electronic)

2021, Number 3

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Rev Cubana Neurol Neurocir 2021; 11 (3)

Characterization of operated patients diagnosed with intracranial pyogenic collections

González OY, Rivero TJR, Moisés NL; Sila D, Clayton BJ, Holoca P

Language: Spanish
References: 18
Page: 1-15
PDF size: 260.19 Kb.


ABSTRACT

Objective: To characterize operated patients diagnosed with intracranial pyogenic collections.
Methods: A descriptive, retrospective, longitudinal study was carried out with 15 patients operated on for intracranial pyogenic collections over a period of twenty months (October 2016 to May 2018), at Josina Machel-María Pia and David Bernardino hospitals, Luanda, Republic of Angola. The main variables studied were age, personal history, number of injuries, topography, treatment variants and main complications. Estimates of frequency, percentage and mean analysis were made.
Results: Children and young adults predominated (66.6%), with a personal history of infections (33%). There was higher incidence of single brain abscesses in the frontal region (44.4%) and subdural empyema in the convexity of the hemispheres (100%). The use of antibiotics was combined, mainly based on a cephalosporin, aminoglycoside and metronidazole. Complications were minimal.
Conclusions: They predominate in children and young adults after septic processes. The most used surgical procedure was trephine and evacuation. Complications were minimal and results were good.


REFERENCES

  1. Astudillas S. Absceso cerebral. Guías de Neuro. 2018 [citado: 15/04/2020];20(1):12-5. Disponible en: https://guiasdeneuro.com/absceso-cerebral/

  2. Igor Gonzalo TO, Marcelocallisaya MV. Empyema Subdural: Serie de casos y revisión de la literatura. Rev Med La Paz. 2019;25(1):36-43. Disponible en https://doi.org/10.1007/s11910-018-0816-8

  3. Martínez Castillo E, Chacón Pizano E, Mejía Rodríguez O. Absceso cerebral. Aten Fam. 2013;20(4):130-2. Doi: 10.1016/S1405-8871(16)30110-9

  4. Widdrington JD, Bond H, Schwab U, Price DA, Schmid ML, McCarron B. Pyogenic brain abscesss and subdural empyema: presentation, management and factors predicting autcome. Infection. 2018;46(6):785-92. Doi: 10.1007/s15010-018-1182-9

  5. Alvis Miranda H, Castellar Leones S, Moscote Salazar L. Brain abscess: Current management. Journal of Neurosciences in Rural Practice. 2016;63(3):253-8. Doi: 10.4103/0976-3147.116472

  6. López Fernández RM, Téllez Rodríguez J, Rodríguez Ramírez AF. Odontogenic infections: clinical stages. Acta Pediatr Mex. 2016. [citado: 15/04/2020].;37(5):302-5. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=68634

  7. Shamanna K. Osteomyelitis of maxilla: a rare case. Journal of Public Health and Medical Research. 2014 [citado: 12/03/2019];2(1):50-5. Disponible en: https://www.researchgate.net/publication/343190681_Osteomyelitis_of_Maxilla_A_Rare_Case

  8. Vila Paucarcaja J, Martínez Peralta M, Altamirano Céspedes J, Milla Vera L, Espinosa Quinteros L, León Alcántara C, et al. Absceso cerebral en niños: Una complicación de otomastoiditis crónica de diagnóstico tardío. Rev Neuropsiquiatr. 2013 [citado: 15/04/2020];76(1):17-20. Disponible en: http://www.redalyc.org/articulo.oa?id=372036943007

  9. Matamala JM, Núñez C, Ogrodnik R, Cartier L. Cerebritis bifrontal y absceso cerebral por Streptococcus del grupo anginosus, en paciente previamente sano. Caso clínico. Rev Med Chile. 2013 [citado: 15/04/2020];141:109-13. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000100015

  10. Gupta AK, Gautam AK, Kumar A, Bhattacharya S, Yadav P. Not All Primary Osteolytic Mandibular Swelling Is Malignant. NJIRM. 2016;7(1):127-9. Doi: 10.1136/bcr-2016-216854

  11. Alberto Fica C, Patricio Bustos G, Gonzalo Miranda C. Absceso cerebral. A propósito de una serie de 30 casos. Rev Chil Infect. 2006;23(2):140-9. Doi: http://dx.doi.org/10.4067/S0716-10182006000200007

  12. Lundy P, Kaufman C, Garcia D, Partingtong MD, Grabb PA. Intracranial subdural empiemas and epidural abscesses in children. J Neurosurg Pediatr. 2019 [citado: 15/04/2020];24(1):14-21. Disponible en: https://emedicine.medscape.com/article/1165292-treatment

  13. Toledo ME, Farfán-Quiroz R, Demontesino-Sampedro A. Absceso cerebral por Haemophilus paraphrophilus posterior a tratamiento dental de una niña. Informe de un caso. Acta Pediatr Méx. 2013 [citado: 15/04/2020];34(1):33-8. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=39608

  14. Vargas Rodríguez LJ, Alvarado MT, Suárez Caparro AF. Absceso cerebral. Diagnóstico, manejo, complicaciones y pronóstico. Rev Chil de neurocirugía. 2018;44(1):60-8. Doi: https://doi.org/10.36593/rev.chil.neurocir.v44i1.47

  15. Ortega Martínez M, Cabezudo JM, Fernández Portales I, Rodríguez Sánchez JA, García Yagüe L, Porras LF, et al. Abscesos piógenos encefálicos. Nuestra experiencia en 60 casos consecutivos. Rev de Neurocirugía. 2016 [citado: 15/04/2020];17(1):23-33. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-14732006000100004

  16. Dickca E, Podracka L, Pavlovivoca Z, Vojtech I. Brain abscess, e rare but serius infection in childhood. Cesko-Slovenka Pediatrie. 2017 [citado: 15/04/2020];72(8):409-94. Disponible en: https://files.osf.io/v1/resources/489he/providers/osfstorage/5e969541d69735047ebddf45?action=download&direct&version=1

  17. Mattogno PP, La Rocca G, Signorelli F, Visocchi M. Intracranial subdural empyema: diagnosis and treatment update. J Neurosurg Sci. 2019;63(1):101-2. Doi: 10.23736/S0390-5616.16.03825-X

  18. Brouwer MCl. Epidemiology, diagnosis, and treatment of brain abscesses. Curr Opin Infect Dis. 2017;30(1):129-34. Doi: 10.1097/QCO.0000000000000334




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