Ibarra TA, Trujillo-Ojeda HM, Aguilar-López R, Silva–Morales F

Language: Spanish
References: 24
Page: 271-276
PDF size: 193.57 Kb.

ABSTRACT

The brain abscesses is a 2-5% of the all intracranial lesions. They cause symptoms an signs including rise intracranial pressure, fever, seizures, hemiparesis, ataxia, nystagmus, multiple cranial nerve palsies, depending of the localization supra- or infratentorial. The diagnosis is by computed tomography (CT) and resonance magnetic imaging (MR), the treatment is with antibiotics and surgical by aspiration and/or excision. The mortality is 22% to 53%. Objective: to present 9 patients with brain abscesses in the supra- and infratentorial spaces, review of their symptoms and signs, diagnosis, treated and outcome. Methods and clinical material: nine consecutive patients, from september 2003 to sep-tember 2005, with diagnosis of brain abscesses in the supra and infratentorial spaces, treated in the de-partment of the Neurology and Neurosurgery, Hospital Central Sur de Alta Especialidad, PEMEX. Results: nine patients with brain abscess. Males 5 (55.5%) and wo-men 4 (44.5%). Ages of 3 months to 71 years old (media 42.67). Localization, supratentorial 4 (44.5%); in-fratentorial 4 (44.5%) and multiple abscesses in 1 (11.1%). Clinical presentation, to all was rise in the ICP in 4 (44.5%); supratentorial including headache, fever, seizures, hemiparesis and the infratentorial, cerebellar syndrome, hydrocephalus, hemiparesis and multiple cranial nerve palsies. The diagnosis, made by CT and MR. The treatment, for the 9 patients was intravenous antibiotics, plus surgical stereotactic aspiration in 6 of, 9 patients, excision in 2 y 1 aspiration hands on. Mortality was 44.5%, 4 cases. Conclusión: the brain abscesses are commmon in a department of neurolo-gical surgery, the clinical manifestations depend of their localization supra- or infratentorial, the management is medical and surgical with elevated mortality.

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