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brain abscess:surgical experiences of 162 cases

Neuroimmunology and Neuroinflammation 2015年第1期2卷 153-161页

作者： Forhad Hossain Chowdhury Md Raziul Haque Mainul Haque Sarkar S.M.Noman Khaled Chowdhury Zahed Hossain Shisir Ranjan Department of Neurosurgery National Institute of Neurosciences and HospitalSher-e-Bangla NagarDhaka 1207Bangladesh Department of Neurosurgery Dhaka Medical CollegeDhaka 1000Bangladesh Department of Neonatolgy Dhaka Medical CollegeDhaka 1000Bangladesh

Aim:brain abscess still poses a public health challenge in spite of the advent of modern neurosurgical techniques and ***,we present our surgical experiences and ultimate outcome in the management of brain ***:Totally,162 patients with proved brain abscess who underwent surgical treatment were included in this *** prospectively recorded data of surgical management of brain abscess and the ultimate outcome(by Glasgow outcome scale)were studied ***:Total number of cases was 162,of which 113 were acute pyogenic abscess while 49 were chronic *** the chronic abscess,29 were chronic pyogenic abscess,14 were tubercular,3 aspergillus,and 3 abscesses were in malignant brain *** acute cases,common clinical features were headache,fever,vomiting,focal deficit and *** chronic abscesses,common clinical features were mild to moderate headache and progressive focal ***-three(45.06%)patients had adjacent localized sinus,middle ear or cranial *** common predisposing factors included postneurosurgery,postpenetrating injury to brain,chronic suppurative otitis media,and congenital heart disease,infective endocarditis,sinusitis and sub optimum *** lobe involved in 30.2%cases,temporal lobe is next to *** time burr hole aspiration in 111(68.5%)cases,two or more times burr hole aspiration were done in 34(21%)*** culture was negative in 129(79.62%)*** number of death was 22(13.58%)*** resolution of abscess with complete recovery of preoperative neuro-deficit was seen in 80.86%cases and recovery with major neuro-deficit was observed in 5.55%*** is a significant association between Glasgow coma scale(GCS)on admission and mortality in brain ***:In most of the cases,pus culture did not yield growth of any causative *** was not directly related to surgical intervention,but GCS on admission has a significant

关键词： acute and chronic brain abscess brain abscess outcome surgical management

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